支气管和肺动脉联合成形治疗中央型肺癌

Bronchoplasty and pulmonary arterioplasty in the surgical treatmen of lung cancer

目的 总结支气管肺动脉成形术治疗中央型肺癌体会。方法 1 995年 9月～ 2 0 0 3年 1 2月 ,对 1 2例中央型肺癌施行支气管肺动脉联合成形肺叶切除 ,包括双袖式左肺上叶切除 6例 ;双袖式右肺上叶切除 2例 ;双袖式右肺中上叶切除 1例 ;双袖式右肺中上叶切除同时隆突重建 1例 ;袖式左上肺叶切除、肺动脉楔形切除 1例 ;袖式右肺中上叶切除、肺动脉楔形切除 1例。结果 本组无死亡及吻合口瘘发生。结论 支气管肺动脉联合成形术使肺癌手术指征扩大 ,符合最大限度地切除肿瘤及最大限度保留肺功能的肺癌手术基本原则 ,是一种安全、有效、可行的术式。

AIM To review the experience in the surgical treatment of central lung cancer with bronchoplsty and pulmonary arterioplasty.METHODS From March 1995 to December 2003,12 patients with central lung cancer underwent resection with bronchoplasty and pulmonary arterioplasty.They included double sleeve left upper lobectomy in 6 cases;double sleeve right upper lobectomy in 2 cases;double sleeve right upper middle lobectomy in 1 case;double sleeve right upper middle lobectomy and carinal reconstruction in 1 case;sleeve left lobectomy and wedge resection of the pulmonary artery in 1 case;sleeve right rpper middle lobectomy and wedge resection of the pulmonary in 1 case.RESULTS There was no death and bronchial anastomosic leakage in our group.CONCLUSION Surgical treatment in lung cancer with brochoi pulmonary arterioplasty expands the indication of lung cancer.This method can ensure radical resection of lung cancer and maximal preservation of functional pulmonary parchym.It is safe and effective surgical technique as alternative to pneumonectomy.