Spaggiari L, Grunenwald D, Girard P, Baldeyrou P
Department of Thoracic Surgery, Institut Mutualiste Montsouris, Paris, France.
Eur J Cardiothorac Surg. 1997 Nov;12(5):798-800. doi: 10.1016/s1010-7940(97)00250-9.
Resection of pulmonary recurrences on the residual lung after pneumonectomy for metastases is exceptional. A 37-year-old woman was submitted to left extended pleuro-pneumonectomy after left leg amputation for fibrosarcoma. At 43 months later, a wedge resection on the right lower lobe was performed followed 32 months later by a further wedge resection in the same lobe. A completion right lower lobectomy for a new recurrence was performed 17 months after the last pulmonary resection. The patient did not develop postoperative complications. She is still alive and free of disease 10 years and 9 months after pneumonectomy and 36 months after completion lobectomy on the residual lung. In highly selected patients, aggressive surgery for metastases on the residual lung can be successfully performed and it can improve survival.
肺切除术后肺转移复发灶在残肺上的切除情况极为罕见。一名37岁女性因纤维肉瘤行左腿截肢术后接受了左全胸膜肺切除术。43个月后，对右下叶进行了楔形切除术，32个月后在同一叶再次进行楔形切除术。在最后一次肺切除术后17个月，因新的复发灶进行了右下叶完整切除术。患者未发生术后并发症。肺切除术后10年零9个月以及残肺完整切除术后36个月，她仍然存活且无疾病复发。在经过严格筛选的患者中，对残肺转移灶进行积极手术能够成功实施，并且可以提高生存率。
