肺叶袖状切除、肺动脉成形术治疗支气管肺癌

Surgical treatment of bronchogenic carcinoma with bronchial sleeve resection and pulmonary artery sleeve resection

目的 研究肺叶袖状切除 ,肺动脉成形术治疗支气管肺癌的疗效 .方法 回顾性总结 5 8例支气管肺癌手术治疗 ,其中 5 1例行主支气管袖状肺叶切除成形术 ,7例行主支气管及肺动脉双袖状切除成形术 .结果 4例患者术后 1a肿瘤复发 ,1例术后 4a复发 ,分别再次手术 .5 3例术后随访1,3,5 a生存率分别为 78% (4 2 / 5 3) ,5 2 % (2 4/ 46 )和 47%(16 / 34 ) .结论 肺叶袖状切除 ,肺动脉成形术治疗支气管肺癌既可全部切除肿瘤 ,又能最大限度保留正常肺组织 ,改善术后患者的生存质量 ,远期疗效良好 .可作为外科治疗肺癌的常规术式之一目的 研究肺叶袖状切除 ,肺动脉成形术治疗支气管肺癌的疗效 .方法 回顾性总结 5 8例支气管肺癌手术治疗 ,其中 5 1例行主支气管袖状肺叶切除成形术 ,7例行主支气管及肺动脉双袖状切除成形术 .结果 4例患者术后 1a肿瘤复发 ,1例术后 4a复发 ,分别再次手术 .5 3例术后随访1,3,5 a生存率分别为 78% (4 2 / 5 3) ,5 2 % (2 4/ 46 )和 47%(16 / 34 ) .结论 肺叶袖状切除 ,肺动脉成形术治疗支气管肺癌既可全部切除肿瘤 ,又能最大限度保留正常肺组织 ,改善术后患者的生存质量 ,远期疗效良好 .

AIM To review the experience of bronchial sleeve resection and pulmonary artery sleeve resection for bronchogenic carcinoma. METHODS Fifty eight patients (male 38, female 20, age range 17 to 72 years) were treated surgically from 1991 to 1998. 40 patients had right upper lobe lesions, and 11 left upper lobe lesions. Bronchial sleeve resection and platy were performed in 51 patients, and bronchial sleeve resection with pulmonary artery sleeve resection in 7 patients. RESULTS There were no hospital deaths. The overall 1 year, 3 year and 5 year survival rates were 78% (42/53), 52% (24/46), 47% (16/34) respectively. CONCLUSION Procedure of bronchial sleeve resection with or without pulmonary artery sleeve resection is an effective surgical treatment for bronchogenic carcinoma. Sleeve lobectomy has the advantages as much normal lung tissue as possible while keeping the principle of radical resection uncompromised.The low operative mortality and good long term survival warrant its popularization.