肺癌手术中心包内肺血管及心房部分切除的疗效观察

Surgical Treatment of Lung Cancer via Intrapericardial Management

目的:探讨心包内处理肺血管及部分切除心房组织在肺癌手术中的应用及价值。方法:在141例肺癌患者术中打开心包处理肺血管及扩大切除受肿瘤侵犯的部分左心房组织。结果:术后并发症发生率36.88%,术后近期死亡率1.42%,术后1、3、5年生存率为74.47%、41.13%、23.40%。结论:心包内处理肺血管及扩大切除部分左房组织安全性好,术后并发症发生率虽有上升,但术后近、远期死亡率无改变,这一行之有效的手术方式可为部分患者增加手术机会,减少手术探查率和扩大手术范围。

Objective: To study the application and significance of intrapericardial vascular management and partial resection of left atrium in the operation of lung cancer. Methods: Lobectomy and pneumonectomy via intrapericardial management or combined with partial resection of left atrium were carried out in 141 patients with lung cancer. Results: The incidence of complications in postoperation was 36.88%,The operation mortality was 1.42%,the 1,3 and 5-year survival rates were 74.47%, 40.43% and 21.28%, respectively. Conclusions: The method of lobectomy and pneumonectomy via intrapericardial management or combined with partial resection of left atrium was secure,though the incidence of complications in postperation rose, but the close and long-term operation mortality hadn`t changed. This method can increase the opportunity of operation, amplify the range of resection and reduce the incidence of surgical exploration.