Terzi A, Furlan G, Falezza G, Gorla A
Division of Thoracic Surgery, Civile Maggiore Hospital, Verona, Italy.
Thorac Cardiovasc Surg. 1996 Jun;44(3):155-7. doi: 10.1055/s-2007-1012007.
We report on a patient who underwent a left pneumonectomy for a second primary lung cancer after a right upper lobectomy and upper chest wall resection for a superior sulcus tumor. Although the postoperative course was complicated by sputum retention which required a temporary tracheostomy the outcome was good and the patient is now living without supplementary oxygen supply. Left pneumonectomy may be considered in patients with previous contralateral lobectomy when the preoperative evaluation of the patient shows an acceptable predicted postoperative pulmonary function. A long-term cure and a good quality of life must, however, be offered.
我们报告了一例患者，该患者因右上叶切除术及上胸壁切除术治疗肺上沟瘤后，又因第二原发性肺癌接受了左肺切除术。尽管术后过程因痰液潴留而复杂化，需要临时气管切开术，但结果良好，患者现在无需补充氧气即可生活。当患者的术前评估显示术后预测肺功能可接受时，对于先前接受过对侧肺叶切除术的患者可考虑行左肺切除术。然而，必须提供长期治愈和良好的生活质量。
