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胸腔镜肺切除术联合激光消融治疗合并肺气肿的肺癌:病例报告

Combined thoracoscopic lung resection and laser ablation for lung cancer with pulmonary emphysema: report of a case.

作者信息

Sugi K, Nawata K, Fujita N, Kaneda Y, Ueda K, Nawata S, Esato K

机构信息

First Department of Surgery, Yamaguchi University School of Medicine, Japan.

出版信息

Surg Today. 1997;27(1):68-70. doi: 10.1007/BF01366943.

DOI:10.1007/BF01366943
PMID:9035304
Abstract

We report herein the case of the 71-year-old man with lung cancer and pulmonary emphysema requiring supplementary oxygen at 21/min by nasal cannula for whom thoracoscopic wedge resection of an adenocarcinoma in his left lower lobe was successfully performed. During the same procedure, thoracoscopic laser ablation of pulmonary bullae was also carried out. There were no postoperative complications, and the patient is currently well 12 months following surgery without any evidence of local or regional recurrence, or distant metastasis. His severe dyspnea on exertion improved, and he no longer requires supplementary oxygen.

摘要

我们在此报告一例71岁男性患者,患有肺癌和肺气肿,需通过鼻导管以每分钟21升的流量补充氧气。该患者成功接受了左下叶腺癌的胸腔镜楔形切除术。在同一手术过程中,还进行了胸腔镜肺大疱激光消融术。术后无并发症,患者术后12个月目前情况良好,无局部或区域复发或远处转移的迹象。他运动时的严重呼吸困难得到改善,不再需要补充氧气。

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1
Combined thoracoscopic lung resection and laser ablation for lung cancer with pulmonary emphysema: report of a case.胸腔镜肺切除术联合激光消融治疗合并肺气肿的肺癌:病例报告
Surg Today. 1997;27(1):68-70. doi: 10.1007/BF01366943.
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本文引用的文献

1
Video-assisted thoracoscopic wedge resection of T1 lung cancer in high-risk patients.高危患者T1期肺癌的电视辅助胸腔镜楔形切除术
Ann Surg. 1993 Oct;218(4):555-8; discussion 558-60. doi: 10.1097/00000658-199310000-00015.
2
Bilateral pneumectomy (volume reduction) for chronic obstructive pulmonary disease.双侧肺切除术(减容术)治疗慢性阻塞性肺疾病
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Thoracoscopic laser pneumoplasty in the treatment of diffuse bullous emphysema.
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4
Wedge resection as an alternative procedure for peripheral bronchogenic carcinoma in poor-risk patients.楔形切除术作为高危患者周围型支气管肺癌的替代手术。
J Thorac Cardiovasc Surg. 1985 Nov;90(5):656-61.
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Results of radical radiation therapy in clinical stage I, technically operable non-small cell lung cancer.
Int J Radiat Oncol Biol Phys. 1988 Jul;15(1):69-73. doi: 10.1016/0360-3016(88)90348-3.
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[Lung function after lobectomy in chronic pulmonary emphysema].[慢性肺气肿患者肺叶切除术后的肺功能]
Nihon Kyobu Geka Gakkai Zasshi. 1991 Sep;39(9):1752-7.
7
Preexisting lung disease and lung cancer among nonsmoking women.不吸烟女性中的既往肺部疾病和肺癌
Am J Epidemiol. 1992 Sep 15;136(6):623-32. doi: 10.1093/oxfordjournals.aje.a116542.