A 69-year-old woman with angina had a lesion in the left lower lobe on chest film. Angiography revealed coronary artery disease in three vessels. Combined off pump coronary artery bypass grafting (CABG) and left low...A 69-year-old woman with angina had a lesion in the left lower lobe on chest film. Angiography revealed coronary artery disease in three vessels. Combined off pump coronary artery bypass grafting (CABG) and left lower lobectomy were performed through median sternotomy. This approach avoids complications due to staged operations and cardiopulmonary bypass (CPB). This report shows that simultaneous off pump CABG and pulmonary operations can be performed safely in patients with coronary artery disease (CAD) associated with lung cancer.展开更多
目的总结同期外科手术治疗肺癌合并重度冠心病患者的安全性和有效性。方法20例肺癌合并重度冠心病患者同期行肺癌根治术和非体外循环冠状动脉旁路移植术(A组),通过倾向性评分匹配法筛选出20例行单纯肺癌根治术的肺癌合并重度冠心病患者(...目的总结同期外科手术治疗肺癌合并重度冠心病患者的安全性和有效性。方法20例肺癌合并重度冠心病患者同期行肺癌根治术和非体外循环冠状动脉旁路移植术(A组),通过倾向性评分匹配法筛选出20例行单纯肺癌根治术的肺癌合并重度冠心病患者(B组),比较两组手术相关指标。结果两组患者年龄相仿[(70.6±7.6)岁vs.(68.4±5.4)岁](P>0.05)。与B组比较,A组手术时间延长[(346.4±78.6)min vs.(171.6±62.6)min]、术中出血量和术后胸腔总引流量增多(中位数:450 ml vs.90 ml和2375 ml vs.800 ml)(P<0.01)。两组术后住院时间比较无统计学差异[(19.7±13.0)d vs.(14.1±5.0)d](P>0.05)。两组3年生存率、无复发生存率和总生存率比较亦无统计学差异(P>0.05)。结论同期外科手术治疗肺癌合并重度冠心病患者安全、有效。展开更多
文摘A 69-year-old woman with angina had a lesion in the left lower lobe on chest film. Angiography revealed coronary artery disease in three vessels. Combined off pump coronary artery bypass grafting (CABG) and left lower lobectomy were performed through median sternotomy. This approach avoids complications due to staged operations and cardiopulmonary bypass (CPB). This report shows that simultaneous off pump CABG and pulmonary operations can be performed safely in patients with coronary artery disease (CAD) associated with lung cancer.
文摘目的总结同期外科手术治疗肺癌合并重度冠心病患者的安全性和有效性。方法20例肺癌合并重度冠心病患者同期行肺癌根治术和非体外循环冠状动脉旁路移植术(A组),通过倾向性评分匹配法筛选出20例行单纯肺癌根治术的肺癌合并重度冠心病患者(B组),比较两组手术相关指标。结果两组患者年龄相仿[(70.6±7.6)岁vs.(68.4±5.4)岁](P>0.05)。与B组比较,A组手术时间延长[(346.4±78.6)min vs.(171.6±62.6)min]、术中出血量和术后胸腔总引流量增多(中位数:450 ml vs.90 ml和2375 ml vs.800 ml)(P<0.01)。两组术后住院时间比较无统计学差异[(19.7±13.0)d vs.(14.1±5.0)d](P>0.05)。两组3年生存率、无复发生存率和总生存率比较亦无统计学差异(P>0.05)。结论同期外科手术治疗肺癌合并重度冠心病患者安全、有效。