隆凸部位原发性肺癌的手术治疗

Tteatment of carinal resections for primary pulmonary carcinoma

作者对１３例涉及隆凸部位的中心型肺癌行切除治疗。鳞癌１１例，腺癌２例Ｔ３Ｎ２Ｍ０３例，Ｔ４Ｎ２Ｍ０１０例。根治手术１０例，姑息手术３例。右全肺切除隆凸全切除３例。右全肺切除隆凸部分切除６例，左全肺切除隆凸部分切除１例，右上中叶切除隆凸部分切除下叶隆凸部位吻合３例。无手术并发症及手术死亡。３年治愈率５４％，５年治愈率３０％，１例已存活８年。该类患者如纵隔淋巴结无广泛转移，局部病灶允许切除，手术效果仍较满意。作者对术中血管、支气管隆凸部的处理提出了自己的经验。

Threeteen patients of lung cancer of center type underwent carinal resections in our department from January 1985 to December 1996. There were 3 patients,T 3N 2M 0 and 10 patients, T 4N 2M 0.Palliative resections were performed for 3 patients and radical resections, for 10 patients.Carinal resection with right pneumonectomy was done in 3 patients, part carinal resection with right pneumonectomy 6 patients,part carinal resection with left pneumonectomy 1 case,and part carinal resection with right sleeve upper and middle lobectomy 3 patients.There were no operative complications and deaths. The 3 year survival rate was 54% and the 5 year survival rates, 30%. One patient has survived for 8 years. The satisfied results of operative therapy were followed when no lymph node metastesis in mediastinum and mass could be resected.