摘要
外科手术是目前根治非小细胞肺癌(non-small cell lung cancer,NSCLC)的最有效方式。全肺切除作为一种术式被应用于临床中。对于中央型肺癌,袖式肺叶切除术因其术后肺功能丧失少、术后并发症及死亡率低逐渐取代全肺切除术成为主流。然而为保证肿瘤学效果,当其他术式无法完全切除时,全肺切除术式仍是必要的。全肺切除术后主要发生心肺并发症,充分了解全肺切除术后相关并发症能帮助临床医师及时做出诊断,并进一步采取相关措施降低术后并发症对患者的不良影响。充分了解预后相关危险因素可帮助临床医师提前采取措施尽可能规避风险,从而改善患者预后。
Surgery is the most effective way to cure non-small cell lung cancer currently.Although sleeve lobectomy,with less reduction of respiratory function and a lower mortality rate,would not compromise oncological results in wellselected patients with central lung cancer,pneumonectomy is still necessary when complete resection could not be achieved by other surgical procedures.Cardiopulmonary complications are the most common complication after pneumonectomy.Fully understanding the related complications after pneumonectomy can help surgeons make a diagnosis timely,and further take relevant measures to reduce the adverse effects of postoperative complications on patients.What’s more,in order to avoid postoperative complications and improve the prognosis of patients as much as possible,it is necessary to fully understand the risk factors to minimize the risk and to make the patients benefit from pneumonectomy as much as possible.
作者
郭晓康
王化锋
魏煜程
Xiaokang GUO;Huafeng WANG;Yucheng WEI(Department of Thoracic Surgery,The Affiliated Hospital of Qingdao University,Qingdao 266000,China)
出处
《中国肺癌杂志》
CAS
CSCD
北大核心
2020年第7期573-581,共9页
Chinese Journal of Lung Cancer
