气管、支气管、血管、左心房成形术在肺癌切除术中的应用

Trachea,bronchus,blood vessel and left atrium plasty in the treatment of lung cancer

背景与目的气管、支气管、血管、左心房成形术可以最大限度切除肿瘤和最大限度保留肺功能,从而提高患者生活质量,延长患者生存。本研究旨在探讨气管、支气管、血管、左心房成形术在肺癌手术中的应用经验。方法从1990年1月至2004年8月,对125例肺癌患者施行气管、支气管、血管、左心房成形术切除肺癌。结果本组行气管、支气管成形术116例,其中合并血管成形术26例;上腔静脉成形术3例;左心房成形术6例。本组术后死亡3例。结论气管、支气管、血管、左心房成形切除肺癌是肺外科发展的方向。

Background and objective The trachea, bronchus, blood vessel and left atrium plasty can maximumly remove tumor tissus and preserve the functional pulmonary tissues so as to improve patients＇ quality of life and prolong their survival. Methods From January 1990 to August 2004, 125 patients with lung cancer underwent trachea, bronchus, bloood vessel and left atrium plasty. Results There were 116 patients who underwent bronchoplasty, in which angioplasty was performed concurrently in 26 cases. And reconstruction of superior vena cava was performed in 3 patients, and left atrium plasty in 6 patients. Three patients died after operation. Conclusion Trachea, bronchus, blood vessel and left atrium plasty may be a promising direction in thoracic surgery.