逆行肺切除在肺癌手术中的应用(附265例报告)

Use of recessive resection of lung in operation of lung cancer(with 265 reports)

[目的]提高中心型肺癌手术切除率的方法。[方法]改变肺切除术中常规首先处理肺血管再切断支气管的方法,在肺动、静脉处理前或中间切断支气管,由于离断了坚硬无延展性的支气管,而仅留有血管及结缔组织,使肺门松动延展便于手术处理。[结果]可以大幅度提高肺癌手术切除率,1年生存率:85.6%、3年生存率:54.5%、5年生存率:36.0%。[结论]逆行肺切除技术是提高肺癌手术切除率及减少术后并发症的可行方法。

[ Objective] The exaltation center type lung cancer surgical operation cuts off the method of the rate. [ Method] Changes the lung resection inside normal regulations handles first the lung blood vessel cuts off again the method of the bronchus,before lung perform, vein handles or cut off the bronchus in the center, because of leaving to break the strong and tough having no the bronchus of the ductility, but stays only blood vessel and knot connective tissue, making lung door loosened to perform to postpone the easy to surgical operation in exhibition handles. [ Result] Can be significant then exaltation lung cancer surgical operation cut off rate, a year saves the rate：85.6% ,3 years exists the rate：54.5% ,5 years exists the rate：36.0% o [Conclusion] The treacherous acts lung cuts off the technique is to increases the lung cancer surgical operation cut off the rate and reduce the complications after the procedure can a method.