Togashi K, Sato Y, Miyamura H
Division of Thorac and Cardiovascular Surgery, Nagaoka Red Cross Hospital, Japan.
Kyobu Geka. 1998 Jan;51(1):14-6.
Our indication of limited operation is passive. Twenty-three patients with stage I non-small-cell lung cancer underwent a limited resection from 1983 to 1995. They were divided into two groups: group A (n = 12) included the elderly patients with the smaller nodule (< or = 2 cm), group B (n = 11) included the patients with decreased pulmonary function or important heart disease. Overall four-year survival was 67%, while the survival in group A was better than that in group B. The rate of local recurrence was 30.4% in both groups and second primary lung cancer occurred in two cases. We conclude that the limited operation played an important role in surgical treatment of patients with non-small cell lung cancer, especially with the smaller nodule (< or = 2 cm).
我们对有限手术的指征是被动的。1983年至1995年期间,23例I期非小细胞肺癌患者接受了有限切除。他们被分为两组:A组(n = 12)包括有较小结节(≤2 cm)的老年患者,B组(n = 11)包括肺功能下降或患有重要心脏病的患者。总体四年生存率为67%,而A组的生存率优于B组。两组的局部复发率均为30.4%,且有2例发生了第二原发性肺癌。我们得出结论,有限手术在非小细胞肺癌患者的外科治疗中发挥了重要作用,尤其是对于有较小结节(≤2 cm)的患者。