右全肺和气管隆凸切除治疗肺癌12例临床分析  

Pneumonectomy of right lung and carinal resection and reconstruction for lung cancer in 12 patients

作　　者：吕帆真[1] 沈晓咏[1] 倪国兴[1] 

机构地区：[1]上海华东医院胸外科,上海200040

出　　处：《中国癌症杂志》2005年第3期248-249,共2页China Oncology

摘　　要：目的:探讨支气管肺癌侵犯叶支气管以上及隆凸的手术适应证和并发症。方法:分析了12例右全肺和隆凸切除气管重建术的手术方法、疗效及主要并发症的发生原因及处理方法。结果:1年以上生存率12/12,2年以上8/12,3年以上2/12。无手术死亡及严重并发症。结论:这类手术方法在肺癌治疗上有一定的价值,可以逐步开展,但应严格掌握适应证的前提下积极开展。Purpose:To discuss the treatments for lung cancer which involved carina of the bronchus and its complications. Methods:The surgical skill, airway management, postoperative complications of the pneumonectomy of right lung and reconstruction of carina and bronchus for lung cancer in 12 patients were discussed. Results:The 1.2.3 year survival rates are 100%(12/12),67%(8/12)and17%(2/12) respectively.There was no cases operative mortality and no severe past-operative complications. Conclusions:There is some value in this method but the indication must be strictly controlled.

关 键 词：支气管肺癌 隆凸切除 气道重建术 并发症 

分 类 号：R734.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]