心包内处理肺血管全肺切除治疗中晚期肺癌

Intra-pericardial pneumonectomy of lung cancer at middle or late stage

目的总结171例心包内处理肺血管全肺切除治疗中晚期肺癌的外科手术经验。方法对171例中晚期肺癌患者的临床资料进行回顾性分析。结果本组无手术死亡,围术期内死亡2例,出现并发症32例,1、3和5a生存率分别为55.1%、20.5%和11.2%。结论中晚期肺癌病人心包外处理肺血管全肺切除困难时,切开心包处理肺血管,有利于安全地切除病肺,可提高肺切除率,降低探查率,延长寿命或改善生活质量。

[Objective] To summarize the experience of surgical resection of intra-pericardial pneumonectomy of lung cancer at the middle or late stage. [Methods] To review and analyze the clinical data of 171 cases of the intra-pericardial pneumonectomy. [Results] There was no operative mortality.32 cases had various postoperative complications and two cases died in perioperative period.The 1-,3-,5-year survival rates were 55.1%, 20.5% and 11.2% respectively. [Conclusion] Comparing with the routine extr-pericardial pneumonectomy this kind of operative approach can raise the pulmonary resection rate and reduce mere exploratory thoracotomy and improve survival rate or quality of life of the patients.