摘要
目的 探讨心包内全肺及左心房部分切除治疗Ⅲb 期肺癌的手术指征和技术操作要点。方法 1990年 1月～ 1998年 5月 ,心包内手术切除Ⅲb 期肺癌 5 6例 ,合并左心房部分切除 12例 ,心包大部切除、心脏裸露 8例。结果 全组无手术死亡 ,术后发生并发症 5例 ,发生率 8.9%。术后 1、3、5年生存率分别为 85 .2 %、31.6 %和 2 5 %。结论 对Ⅲb 期肺癌采用扩大手术切除能延长生存期 ,提高患者生活质量 。
Objective To explore the operative indications and the key points of operational technique of interpericardium pneumonectomy and left atrium partial resect on Ⅲ b stage lung cancer.Methods From jan,1990 to May,1998,interpericardium pneumonectomy was performed in 56 cases of Ⅲ b stage lung cancer,with left atrium partial removed in 12,main part of pericardium removed and the heart uncovered in 8 cases.Results There was no operative death in this group.The occurrence rate of postoperation complication was 8.9%(5/56).The 1,3 and 5 year post operation survial rate was 85.2%,31.6% and 25% respectively.Conclusions The extensive operation can prolong the survial period and improve the living guality,so it has clinical significance.
出处
《中国肿瘤临床与康复》
2001年第2期77-78,共2页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
Ⅲb期肺癌
扩大根治术
治疗
b stage lung cancer
extensive radical operation.
