肺转移瘤的外科治疗进展

Progress in surgical treatment of pulmonary metastases

肺是恶性肿瘤最常见的转移靶器官之一,肺转移瘤切除术已成为胸外科的常见手术。研究认为肺转移瘤切除术可以使部分患者生存获益,尽管肺转移瘤的手术治疗取得了一定的效果,但恶性肿瘤一旦合并肺转移就属于晚期肿瘤的范畴,手术切除只作为一种姑息性的治疗手段,其最大意义在于降低肿瘤负荷。目前关于肺转移瘤切除术的手术适应证、术前检查、手术方式及切除范围、淋巴结处理、转移瘤的复发与再切除、预后等方面仍存在争议。本文将从上述几个方面对肺转移瘤的外科治疗进展进行综述。

Lung is one of the most common metastatic organs of carcinomas.Pulmonary metastasectomy has become a common procedure in thoracic surgery and its effectiveness has been demonstrated by many researches.Once the malignant tumor is combined with lung metastasis,which belongs to the category of advanced tumor,surgical resection is only a palliative treatment to reduce the tumor load.However,there are still some controversies among the surgical indications,preoperative examinations,surgical methods and resection ranges,lymph node management,recurrence and re-resection of metastatic tumor and prognostic factors.This article reviews pulmonary metastasectomy from the above aspects.