肺癌再切除术的外科疗效分析  

Analysis of the Results of Surgical Treatment on Re-resection of Lung Cancer

作　　者：李文涛[1] 丁嘉安[1] 高文[1] 李化[1] 刘晓峰[1] 

机构地区：[1]上海市肺科医院胸外科,上海200433

出　　处：《中国胸心血管外科临床杂志》2002年第1期20-22,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的　通过对 6 0例肺癌再切除手术患者进行回顾性分析 ,探讨其手术指征、并发症和生存率。方法　自 1980年 1月至 2 0 0 0年 10月 ,对 6 0例肺癌患者实施肺癌再切除手术 ,余肺肺癌复发 36例 ,第 2次原发性肺癌 2 4例。应用生命表法计算 1年、3年、5年生存率。　结果　全组无手术及围术期死亡 ,术后发生并发症 2 6例(4 3.3% ) ,涉及呼吸系统症状的 2 1例 (35 % ) ,非呼吸系统 5例 (8.3% ) ,其中支气管胸膜瘘 4例 (6 .7% ) ,脓胸 6例(10 % )。随访至 2 0 0 0年 10月 ,术后 1年、3年、5年生存率分别为 80 %、6 8.3%和 38.3%。　结论　只要患者条件许可 。Objective Re resection of lung cancer including completion pneumonectomy is reported to be associated with high morbidity and mortality.We review our 20 years of experience with this operation to evaluate the postoperative outcome and long term results of various indications. Methods From January 1980 to October 2000, 60 consecutive patients underwent re resection of lung cancer including completion pneumonectomy, and their cases were retrospectively reviewed. The indication was local recurrence in 36 patients, second primary lung cancer in 24 patients. Results There were no intraoperative and postoperative deaths. 26 (43.3%) cases had postoperative complications. Bronchopleural fistula encountered in 4 (6.7%) cases, and empyema encountered in 6 (10%) cases. Follow up to October 2000, the actuarial 1 year, 3 year, and 5 year survival rate were 80%, 68.3%, and 38.3%, respectively. Conclusion Re resection of lung cancer can be performed with acceptable mortality and morbidity, aggressive attitude to re resection should be adopted.

关 键 词：肺癌 肿瘤复发 再切除术 

分 类 号：R734.2[医药卫生—肿瘤]