Jacobson M J, Zand L, Fox R T, Lees W
Thorax. 1976 Aug;31(4):365-8. doi: 10.1136/thx.31.4.365.
In the past few years there has been increasing use of limited resection for pulmonary carcinoma, especially in patients with restricted cardiorespiratory function. Because there is frequently a choice as to the type of limited resection, it was considered worth while to review the safety and efficiency of the two principal types. In total, 212 wedge resections and 281 segmental resections are reported. Despite certain theoretical advantages to segmentectomy, wedge resection carried a lower complication rate. Seventy-one per cent of wedge resections were free of complications compared to 54% of segmental resections. Minor complications were defined as apical air space and apical haematoma. The incidence of minor complications was similar for each group, 22% for wedge resections and 27% for segmentectomies. However, there was a significantly higher major complication rate in the segmental resection group (19%) compared to the wedge group (7%). This is understandable, considering the amount of raw lung surface exposed after segmental resection. It appears that where it is surgically feasible, wedge resection should be practised.
在过去几年中，肺癌的有限切除应用越来越多，尤其是在心肺功能受限的患者中。由于有限切除的类型常常有多种选择，因此回顾两种主要类型的安全性和有效性被认为是有价值的。总共报告了212例楔形切除术和281例肺段切除术。尽管肺段切除术有某些理论上的优势，但楔形切除术的并发症发生率较低。71%的楔形切除术无并发症，而肺段切除术为54%。轻微并发症定义为肺尖气腔和肺尖血肿。每组轻微并发症的发生率相似，楔形切除术为22%，肺段切除术为27%。然而，肺段切除术组的严重并发症发生率（19%）明显高于楔形切除术组（7%）。考虑到肺段切除术后暴露的肺创面面积，这是可以理解的。看来在手术可行的情况下，应采用楔形切除术。
