体外循环下气管肿瘤和肺癌切除术

Resection of Tracheal Tumor and Lung Cancer under Extracorporeal Circulation

目的总结体外循环下（extracorporeal circulation,ECC）施行气管肿瘤和肺癌切除术的方法和经验。方法自1999年12月-2007年1月,对3例不能进行气管插管的气管肿瘤和肺癌患者实施ECC下肿瘤切除,第1例行根治性切除、隆突重建术 第2例行窗形姑息性切除 第3例行左全肺根治性切除术及左房部分切除成形术。ECC时间分别为168 min、47 min和67 min。结果手术过程顺利。第1例因ECC时间较长,术后渗血较多。2、3例患者康复顺利,近期疗效好。结论对不能进行气管插管的气管肿瘤患者及常规手术方法不可能切除的肺癌患者,可选择在ECC下切除肿瘤。

OBJECTIVE To review the experience in resection of tracheal tumor and lung cancer under extracorporeal circulation （ECC） . METHODS From Dec 1999 to Jan 2007,we resected two cases tracheal tumor and lung cancer patients by applicating ECC with difficulty in tracheal tube and one case lung cancer patient under ECC. One case of patient was performed radical resection of tracheal tumor and caring reconstruction. The other two were taken fenestration for trachea. We resected one cases of lung cancer with difficulty in conventional operation methods by applicating ECC. The time of ECC were 168 minutes,47 minutes and 67 minutes. RESULTS The operations were finished smoothly. One paient had hematorrhea postoperation because of longer ECC time. The other two patients get well with good curative effects in the near future. CONCLUSION ECC can be used for the operation of tracheal tumor with difficulty in tracheal and lung cancer with difficulty in conventional operation methods.