肺亚段切除术治疗非小细胞肺癌的应用进展

Advances in pulmonary subsegmentectomy for non-small cell lung cancer

【指示性摘要】肺癌是严重危害我国人民健康的恶性肿瘤之一。肺叶切除术和系统淋巴结清扫术被认为是肺癌外科治疗的标准术式。随着我国CT技术的进步与广泛普及,越来越多的早期肺癌被及时发现并得到治疗;肺亚段切除术作为近年来发展迅速的一项治疗早期肺癌的新技术,其在完整切除癌组织的基础上对患者肺功能的保护作用显著,受到相关研究人员的关注;但由于缺乏足够的循证医学支持,这项技术的推广受到了一定阻碍。本文将对肺亚段切除术的前期基础、技术难点、手术方法及存在的争议进行阐述与归纳。

Lung cancer is one of the malignant tumors that seriously harm people’s health in China.Lobectomy and systematic lymph node dissection are considered the standard surgical procedures for lung cancer.With the development and popularization of CT technology in China,more and more early lung cancers have been detected and treated in time.Pulmonary subsegmentectomy is a new technique for the treatment of early lung cancer with rapid development in recent years,and on the basis of complete resection of cancer tissues,it has a significant protective effect on the lung function of patients and has attracted the attention of relevant researchers.However,the lack of adequate evidence-based medicine has hindered the spread of the technology.In this review,the preliminary basis,technical difficulties,surgical methods and existing disputes of pulmonary subsegmentectomy are described and summarized.