摘要: 目的 探讨中晚期中央型肺癌经心包内肺血管处理治疗的临床疗效。方法 回顾性分析心包内处理血管的41例肺切除术的临床资料。结果 全组41例术后并发症发生率26.82%,1、3、5年生存率分别为67.50%、22.50%、10.00%。结论 通过心包内血管处理行肺切除术治疗中晚期肺癌可增加手术切除范围并提高手术切除率,改善患者的术后生存。
Abstract: Objective To evaluate the clinical outcomes of pneumonectomy with intrapericardial ligation of the pulmonary artery and vein in patients with advanced lung cancer. Methods The clinical data of 41 cases of pulmonary resection in the treatment of patients with pulmonary resection were retrospectively analyzed. Results The incidence of postoperative complications was 26.82%, 1, 3, 5 year survival rates were 67.50%, 22.50%, 10%. Conclusion Pneumonectomy with intrapericardial ligation of the pulmonary artery and vein can extend the resection range and increase the resection rate of advanced lung cancer, as well as improve the postoperative survival.
[1] Detterbeck FC, Boffa DJ, Tanoue LT. The new lung cancer staging system. Chest 2009;136:260–71.
[2] Riquet M, Grand B, Arame A, Pricopi CF, Foucault C, Dujon A et al. Lung cancer invading the pericardium: quantum of lymph nodes. Ann Thorac Surg 2010;90:1773–8.
[3] Meacci E, Cesario A, Cusumano G, Lococo F, D’Angelillo R, Dall’Armi V et al. Surgery for patients with persistent pathological N2 IIIA stage in non-small-cell lung cancer after induction radio-chemotherapy:the microscopic seed of doubt. Eur J Cardiothorac Surg 2011;40:656–63.
[4]谭群友, 王其泽, 孙玉鹗, 等. 肺癌侵犯中央肺血管及其可切除性的研究. 中华胸心血管外科杂志, 2000, 16( 4)B205- 207.
[5] YANG BL, JIN F, WANG MX. Pneumonectomy through intrapericardial disposal of pulmonary vessels for 158 cases with intermediate or late pulmonary carcinoma[J]. China J Cancer Prev Treat, 2002, 9(4): 453- 454.