气管、支气管成形术的“特殊术式”

Special models of tracheobronchoplastic operation for lung cancer

目的：介绍肺癌手术治疗中的一类非袖状非楔形切除的支气管成形术的特殊术式。方法：在肺切除（肺叶或全肺）同时伴行受累的一侧支气管壁切除，用相应或对侧健康的支气管壁加以适当成形后修补或覆盖缺损重建气道。结果：１９８６年５月至１９９７年１２月共为９例肺癌病者作了六种特殊形式的支气管成形术，全部成功。结论：这类术式适用于特定部位支气管受累病例。有时可代替复杂的气管、支气管隆突切除及气道重建，既可彻底切除病变又能保留健肺，进一步扩大了肺癌外科的适应症。

Objective: To introduce some special models of tracheobronchoplasitc operation of non wedge and non sleeve resectin for lung cancer. Methods: With lung resection and elimination of involved tracheobronchial parts adaptive shaping of healthy portions of bronchi was used to reestablish the airways. Results: From May 1986 to Dec. 1997, six types of plastic operations were successfully performed in 9 cases with lung cancer. No post operation complication occurred. Conclusion: Indications for these special models were adapted to special involved sites of tracheobronchi. In some instances this type of operation may be used instead of complex tracheobronchial or caria resection and effectively reestablished airways. The plastic operation broadens surgical indications for lung cancer.