摘要
一组晚期中心型肺癌病例,12例皆为Ⅲ期a或Ⅲ期b肺门部冻结之病变。手术采取切开心包膜,切除部分心包,在心包腔内处理纵隔段肺血管及纵隔支气管施全肺切除术,手术均获成功。作者认为心包内全肺切除使原来不能常规在胸腔内进行全肺切除的一部分晚期病例获得了手术机会,扩大了手术适应症,提高了切除率,延长了生存期,是晚期中心型肺癌外科治疗的有效手段。
This investigation include 12 patients with centsally located high-stage Lung Cancer. All of them have stage Ⅲ a as stage Ⅲ b lession with pulmonary fixed. All of the 12 cases were operated by pneumonectomy with using the technique of openning and resection part of pericardium to handle main pulmonary vessels and main bronchus. All of the 12 operations had accomplished successfully. ln author's idea, using the technique of intropericardial pneumonectomy may treat some advanced Lung Cancer patients who would not be operated by conventional introthoracic processes,enlarge the extend of operative indication, increase the rate of resectability, improve the parients'survival time and would be being a prospective method in treating centrally located high-stage Lung Cancer.
出处
《肿瘤防治研究》
CAS
CSCD
北大核心
1995年第5期290-291,共2页
Cancer Research on Prevention and Treatment
关键词
肺肿瘤
晚期
中心型
外科手术
心包内
肺切除
Centrally located high-stage Lung Cancer
Pulmonary hilum fixed