Complete resection continues to be the gold standard for the treatment of earlystage lung cancer.The landmark Lung Cancer Study Group trial in 1995 established lobectomy as the minimum intervention necessary for the m...Complete resection continues to be the gold standard for the treatment of earlystage lung cancer.The landmark Lung Cancer Study Group trial in 1995 established lobectomy as the minimum intervention necessary for the management of early-stage non-small cell lung cancer,as it was associated with lower recurrence and metastasis rates than sublobar resection and lower postoperative morbidity and mortality than pneumonectomy.There is a growing tendency to perform sublobar resection in selected cases,as,depending on factors such as tumor size,histologic subtype,lymph node involvement,and resection margins,it can produce similar oncological results to lobectomy.Alternative treatments such as stereotactic body radiotherapy and radiofrequency ablation can also produce good outcomes in inoperable patients or patients who refuse surgery.展开更多
目的探讨微创外科治疗慢性阻塞性肺疾病（COPD）伴肺大疱的效果。方法对2001年10月至2009年6月收治的72例COPD伴肺大疱患者行胸腔镜肺大疱切除术,其中COPD伴肺大疱患者52例,伴气胸者20例;若胸腔内粘连尚可分离、肺大疱呈非弥漫性分布,...目的探讨微创外科治疗慢性阻塞性肺疾病（COPD）伴肺大疱的效果。方法对2001年10月至2009年6月收治的72例COPD伴肺大疱患者行胸腔镜肺大疱切除术,其中COPD伴肺大疱患者52例,伴气胸者20例;若胸腔内粘连尚可分离、肺大疱呈非弥漫性分布,予完全胸腔镜下肺大疱切除;若胸腔镜探查发现胸腔内广泛粘连、肺大疱太多或呈弥漫分布,则采用胸腔镜加小切口肺大疱切除术;并对手术前后患者肺功能进行对比分析。结果完全胸腔镜手术36例次,行胸腔镜＋小切口手术46例次（双侧肺大疱患者10例行分期手术）。手术时间30~240 m in,住院时间10~72 d。术后随访64例2~72个月,患者胸闷、气促等症状明显改善,术前气胸者无气胸复发;术后3、6个月肺功能均较术前明显提高（P〈0.05）。结论微创外科治疗COPD伴肺大疱疗效显著。手术指征、手术方法以及术后管理对治疗效果起决定作用。展开更多
文摘Complete resection continues to be the gold standard for the treatment of earlystage lung cancer.The landmark Lung Cancer Study Group trial in 1995 established lobectomy as the minimum intervention necessary for the management of early-stage non-small cell lung cancer,as it was associated with lower recurrence and metastasis rates than sublobar resection and lower postoperative morbidity and mortality than pneumonectomy.There is a growing tendency to perform sublobar resection in selected cases,as,depending on factors such as tumor size,histologic subtype,lymph node involvement,and resection margins,it can produce similar oncological results to lobectomy.Alternative treatments such as stereotactic body radiotherapy and radiofrequency ablation can also produce good outcomes in inoperable patients or patients who refuse surgery.
文摘目的探讨微创外科治疗慢性阻塞性肺疾病（COPD）伴肺大疱的效果。方法对2001年10月至2009年6月收治的72例COPD伴肺大疱患者行胸腔镜肺大疱切除术,其中COPD伴肺大疱患者52例,伴气胸者20例;若胸腔内粘连尚可分离、肺大疱呈非弥漫性分布,予完全胸腔镜下肺大疱切除;若胸腔镜探查发现胸腔内广泛粘连、肺大疱太多或呈弥漫分布,则采用胸腔镜加小切口肺大疱切除术;并对手术前后患者肺功能进行对比分析。结果完全胸腔镜手术36例次,行胸腔镜＋小切口手术46例次（双侧肺大疱患者10例行分期手术）。手术时间30~240 m in,住院时间10~72 d。术后随访64例2~72个月,患者胸闷、气促等症状明显改善,术前气胸者无气胸复发;术后3、6个月肺功能均较术前明显提高（P〈0.05）。结论微创外科治疗COPD伴肺大疱疗效显著。手术指征、手术方法以及术后管理对治疗效果起决定作用。
