隆凸切除、支气管袖状肺叶切除治疗中央型肺癌105例  

Carinal resection and bronchial sleeve lobectomy in the treatment of central lung cancer: A report of 105 cases

作　　者：曾来铎[1] 匡裕康[1] 吴九发[1] 林群[1] 阴兵林[1] 王东升[1] 王兆阁[1] 黄健[1] 何枝生[1] 

机构地区：[1]江西省肿瘤医院胸外科,南昌330029

出　　处：《中国肺癌杂志》2002年第6期414-415,共2页Chinese Journal of Lung Cancer

摘　　要：目的　总结 1991年 11月至 2 0 0 1年 11月采用隆凸切除、支气管袖状切除、双袖状切除术治疗10 5例中央型肺癌的经验。方法　全组 10 5例 ,其中施行隆凸切除气道重建术 19例 ,左、右各式支气管袖状肺叶切除术 81例 ,双袖状肺叶切除 5例。结果　本组无手术死亡。术后并发症发生率为 10 .5 %。术后 1、3、5年生存率为 89.9%、60 .0 %和 47.2 %。结论　支气管袖状 /双袖状肺叶切除治疗中央型肺癌 ,既能最大限度地切除肺肿瘤 ,又能最大限度地保留健康肺组织。隆凸切除气道重建术能进一步扩大手术适应证。Objective To summarize the experience of carinal resection and bronchial sleeve lobectomy in the treatment of 105 patients with central lung cancer from November, 1991, to November, 2001. Methods A total of 105 patients with central lung cancer underwent pulmonary resection. Carinal resection and reconstruction was performed in 19 patients, bronchial sleeve resection in 81, and bronchial sleeve combined with pulmonary artery sleeve lobectomy in 5. Results There was no operative mortality. Postoperative complications such as anastomotic leakage, cardiac arrhythmia, asthma, pulmonary atelectasis occurred in 10.5% of total group. The 1 , 3 and 5 year survival rates were 89.9%, 60.0% and 47.2%, respectively. Conclusion Bronchial sleeve lobectomy and double sleeve lobectomy are capable of excising pulmonary tumor as much as possible while remaining healthy lung tissues. Carinal resection and reconstruction is helpful to extend the surgical indication.

关 键 词：支气管袖状肺叶切除 中央型肺癌 肺肿瘤 隆凸切除 

分 类 号：R734.2[医药卫生—肿瘤]