Parenchymal sparing operations for bronchogenic carcinoma
Parenchymal sparing operations for bronchogenic carcinoma
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DOI：
10.1016/s0039-6109(02)00021-x
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发表时间：
2002-06-01
影响因子：
3.1
通讯作者：
Coloni, GF
中科院分区：
文献类型：
--
作者：
Rendina, EA;Venuta, F;Coloni, GF
到20世纪50年代末，气管支气管和肺动脉（PA）重建的原则已经确立，并成功地应用于临床。然而，直到最近，这些技术才引起了胸外科医生的广泛兴趣，作为一种在保留功能性肺实质的同时实现完全肿瘤切除的手段。目前，支气管和/或PA的袖状切除术在肺癌的外科治疗中具有明确的作用。越来越多的技术变化旨在使基本技术适应不同的解剖环境，这证明了对该领域的兴趣日益增长。此外，陷阱，并发症，及其预防和治疗正在广泛描述。最后但并非最不重要的是，功能和肿瘤学的长期结果，与更广泛的切除术相比，正在被许多团体报道。这表明袖状肺叶切除术不再只保留给特别熟练的外科医生。袖状肺叶切除术在胸外科常用技术中取得了应有的地位，经过40年的提高认识和交替的热情和合理的怀疑。
By the end of the 1950s, the principles of tracheobronchial and pulmonary artery (PA) reconstruction had been established, and their successful clinical application had taken place. It was not until very recently, however, that these techniques aroused widespread interest among thoracic surgeons as a means to achieve complete cancer resection while preserving functioning lung parenchyma. At the present time, sleeve resection of the bronchus and/or PA has a definite role in the surgical management of lung cancer. Growing interest in this field is evidenced by an increasing number of technical variations intended to adapt the basic technique to the different anatomical settings. Also pitfalls, complications, and their prevention and treatment are being extensively described. Last but not least, functional and oncological long-term results, comparing favorably with those of more extended resections, are being reported by many groups. This demonstrates that sleeve lobectomy is no longer reserved only for particularly skillful surgeons. Sleeve lobectomy has achieved its rightful position among the techniques commonly used in thoracic surgery after 40 years of improving understanding and alternating enthusiasm and legitimate doubts.