气管右全肺袖状切除治疗肺癌

VIA RIGHT TRACHEOBRONCHIAL SLEEVE PNEUMONECTOMY FOR RIGHT LUNG CANCER

目的 对气管右全肺袖状切除治疗肺癌的手术和手术效果进行探讨。方法 本文总结了 2 1例气管右全肺袖状切除肺癌的手术方法和效果 ,其中男性 2 0例 ,女性 1例 ,年龄 37- 73岁。结果 术后一年以上生存率 6 1.9% (13/2 1) ,二年以上生存率 40 % (8/ 2 0 ) ,三年以上生存率 35 %(7/ 2 0 )。四年以上生存率 30 .0 % (6 / 2 0 ) ,五年以上生存率2 5 .0 % (5 / 2 0 )。术后全组无气管支气管吻合口瘘。 1例发生呼吸衰竭。结论 对心肺功能大致正常及无肺外转移的病例 ,气管右全肺袖状切除肺癌有一定的价值。

Objective To discuss the method and effect of right trancheobronchial sleeve pneumonectomy for right lung cancer. Methods 21 cases of right tracheobronchial sleeve pneumonectomy for right lung cancers were analyzed. Results The 1 yr survival rate was 61 9%(13/21), the 2 yr 40 0 %(8/20), the 3 yr 35 0(7/20), the 4 yr 30 %(6/20), and the 5 yr 25 %(5/20). No tracheobronchial fistul was found in the group. One patient had respiratory failure. Conclusion There is certain clinical value of via right tracheobronchial sleeve pneumonectomy for treating right lung cancer.