全肺切除治疗肺癌76例

Clinical Analysis about Completion Pneumonectomy of Lung Cancer

目的探讨全肺切除术治疗肺癌的技巧。方法全肺切除治疗的中央型肺癌。结果76例全肺切除,36例行心包内处理肺血管全肺切除。全组无死亡病历,术后并发症10例(13.16%)1、3 5年生存率分别为77.63%、39.47%、23.68%。其中姑息性全肺切除9例,未分化小细胞癌2例,无1例存活超过3年。结论全肺切除及心包内处理血管全肺切除可明显提高中晚期肺癌的手术切除率、延长寿命和改善生活质量。

Objective To summarize the experience of completion pneumonectomy in 76 patients with lung cancer and to explore the techniques of intrapericardial pneumonectomy. Methods Retrospective study was carried out in this study to analyse 76 patients with central type lung cancer undergoing pneumonectomy in our hospital from 1996 to 2008. Results Among 76 patients undergoing pneumonectomy, 36 patients were dealed with major pulmonary vessels inside the pericardium. There was no oprative mortality. Postoperative complications occurred in 10 cases. The survial rate of 1 year, 3 - year and 5 - year were 77.63 %, 39.47 %, 23.68 % respectively. Nine eases underwent palliative resection and tow small cell lung cancer,none of them survived more than 3 years. Conclusion Completion pneumonectomy espicially intra - pericardial pneumonectomy could increase respectability of lung cancer at the middle or late stage and improve survival rate and quality of life of the patients.