隆凸成形术在肺癌外科中的临床应用

The Role of Carinal Reconstruction in the Treatment of Lung Cancer

目的随着外科技术及麻醉技术的发展,侵犯隆凸的中心型肺癌不再是手术禁忌。本研究旨在探讨隆凸成形术在肺癌外科中的临床应用。方法回顾分析我科自1982年以来,68例隆凸成形术患者的临床资料,其中35例同期行左心房或肺动脉成形术。结果术后并发各种心律失常27例,各种呼吸系统并发症33例,呼吸功能衰竭8例,术后出血1例,死亡1例(死亡原因为气管支气管吻合口瘘)。本组1、3、5年生存率分别为78.23%、48.43%、24.86%。结论在侵犯隆凸的中心型肺癌的治疗中,隆凸成形术可以最大限度地切除肺癌组织,保留患者的肺功能,术后采取放疗、化疗等综合措施能提高生存率。

Objective We sought to discuss the benefit of carinal resection for lung carcinoma. Methods This was a retrospective singlecenter study. Since 1982, 68 patients underwent carinal resection and reconstruction for lung carcinoma in our institution. 35 patients underwent additional cardiovascular plasty simutaneously. Results There were 27 cases with arrhythmia. Respiratory complications oeeured in 33 patients with 8 patients suffered from pulmonary function failure. 1 patient was died of anastomotic leakage. The 1-,3- and 5-year survivals were 78.23% , 48.43% and 24.86% respectively. Conclusion Surgical intervention for lung carcinoma involving the carinal is feasible with acceptable mortality and good long-term survival in selected patients.