支气管肺血管成形重建治疗中叶肺癌

The Middle Lobe Cancer Treated with Bronchovascular Resection and Reconstruction

目的 探讨中叶肺癌最大限度保留健肺的手术方法。方法 1994年 6月至 1999年 8月 ,对 16例中叶肺癌分别采取了中叶切除加支气管楔形切除 12例 ,其中 6例伴肺动脉部分切除 ,2例肺动脉袖式切除 ;另 3例行中叶切除加支气管袖式切除 ,其中 1例伴肺动脉部分切除 ;另 1例行中下叶切除、肺上静脉与肺下静脉重建。结果 16例手术全部获得成功。 1年生存率 88% ,3年生存率 5 0 %。结论 中叶肺癌采用支气管肺血管成形重建术 ,既最大限度切除病变 ,又充分保留健肺 。

Objective In order to research the operative method for preservation of healthy lung in the middle lobe carcinoma.Methods From June,1994 to August,1999,16 cases lobectomy of middle lobe cancer were performed.12 of 16 cases were received middle lobectomy with bronchial wedge-shaped resection,6 of which were followed by partial pulmonary artery resection,2 of which,with pulmonary artery sleeve resection,3 of 16 were cured by the middle lobe sleeve lobectomy,one of which was done with combined partial pulmonary artery resection.One of 16 received both middle and lower lobectomy,simultaneously,completed upper pulmonary vein and lower pulmonary vein reconstruction.Results 16 cases operation were all successful.The survival rate in 1 and 3 years were 88% and 50%,respectively.Conclusion Bronchovascular resection and reconstruction applied to treat the middle lobe cancer not only could maximal remove the focal lesion,but also reserve the healthy lung fully,and expanded the surgical indication.