Yamamoto M, Takeo M, Mizuno Y, Meguro F, Ishikawa T
Department of Surgery, Kobe West City Hospital, Japan.
Kyobu Geka. 1998 Sep;51(10):872-4.
An 85-year-old woman was referred to our hospital because of an abnormal shadow in the right upper lung field in chest roentgenograms. CT scans revealed a tumor, 3 cm in diameter at the peripheral field of the upper lobe. The lesion was diagnosed adenocarcinoma of the lung by transbronchial lung biopsy (c-T1N0M0). She underwent a partial resection of he S3 in consideration of age and the clinical stage, by using thoracoscopic procedure. Her postoperative course was uneventful and she was discharged on the 14th postoperative day. Since then, she has been free from recurrence for the past 3 years. Thoracoscopic surgery appears to be useful for aged patients with peripheral early lung cancer because of low incidence of postoperative disability and complications.
一名85岁女性因胸部X光片右上肺野出现异常阴影而被转诊至我院。CT扫描显示上叶外周有一个直径3厘米的肿瘤。经支气管肺活检诊断为肺腺癌（c-T1N0M0）。考虑到患者年龄和临床分期，采用胸腔镜手术对其S3进行了部分切除。术后恢复顺利，术后第14天出院。此后，她在过去3年中未复发。胸腔镜手术对于老年外周型早期肺癌患者似乎是有用的，因为术后残疾和并发症的发生率较低。
