全肺切除治疗肺癌160例报告

A report on pneumonectomy in 160 cases of lung cancer

目的总结我科近5年来全肺切除160例肺癌切除病例。方法右侧全肺切除57例,左侧全肺切除103例,经心包全肺切除38例。TNM分期II期25例,IIIa期107例,IIIb期28例。病理分型非小细胞肺癌133例,小细胞肺癌27例。结果术后出现心律失常18例,经对症处理痊愈;死亡17例,死亡原因呼吸衰竭8例、心脏衰竭2例、咯血2例、脓胸2例、支气管胸膜漏3例。结论肺癌就诊多属晚期,但临床III期病例,只要肺功能耐受,应选择根治性全肺切除,术前准确评估患者全身状况,可以明显减少术后并发症。

Objective： To review the experience of pneumonectomy for 160 patients from 2001 to 2006. Methods： Total of 57 patients underwent right pneumonectomy, 103 patients underwent left pneumonectomy, and 38 patients under went pneumonectomy via pericardium. According to the TNM classification, 25 patients were in phase Ⅱ, 107 patients in phase Ⅲa and 28 patients in phase Ⅲb. There were 133 cases of non - smallcell carcinoma and 27 eases of small cell carcinoma. Results： Arrhythmia was find in 18 patients and recovered, 17 patient died in the post operative period, the reason ： respiratory failure （ 8 cases） , heart fail （ 2 cases ）, emptysis （ 2 cases ） , empyema （2 cases） and bronchopleural fistula （3 cases）. Conclusion： Most of the patients with lung cancer were in advanced stage when they went to hospital ; for those in phase Ⅲ, radical pneumonectomy was the choice on condition that the patients＇ lung functions were good enough for the operation. And the syndrome after operation could be reduce clearly.