经心包内肺血管处理行肺切除术104例

Pulmonary resection by dealing with pulmonary vesselsinside pericardium:Report of 104 cases

从１９８５年至１９９３年间，作者采用心包内肺血管处理行肺切除术治疗Ⅲ型中央型肺癌１０４例，占同期肺癌切除术的１０％。一年生存率３５％，三年生存率１６％。作者对照以往肺手术情况，认为本方法可以提高肺切除率９．２５％，降低肺探查术近３３％。作者还就手术适应证、术式要点和手术前后处理进行讨论。

AbstractDuring 1985～1993,the writer had performed 104pulmonary resections, which was 10/of the sametime pulmonary resections, to treat type Ⅲ center lungcarcinoma by dealing with pulmonary vessels insideDericardium。the results demonstrated: one-year survival rate was 35%,while three year survival rate was11%.The writer also found that this kind of operativemode can raise the pulmonary resection rate by8.75/,and reduce the exploratory thoractomy rate,by 33%compared with the traditionary pulmonary re-section.