MANAGEMENT OF BRONCHIAL-CARCINOMA BY SEGMENTAL RESECTION
MANAGEMENT OF BRONCHIAL-CARCINOMA BY SEGMENTAL RESECTION
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DOI：
10.1136/thx.27.1.70
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发表时间：
1972-01-01
期刊：
影响因子：
10
通讯作者：
LEROUX, BT
中科院分区：
文献类型：
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作者：
LEROUX, BT
在4，000名支气管癌患者中，17名患者的小型外周肿瘤通过节段性切除进行了治疗，因为开胸手术时触诊到的病变被认为是结核性的，因为肿瘤所在的节段与邻近的肺被解剖学上完整的裂缝分开，或者为了避免对已经减弱的呼吸储备造成不必要的限制。1名患者直接死于手术; 8名患者在手术后1至7年死于肿瘤转移或复发; 3名患者死于非转移原因; 5名患者在手术后5至8年仍存活。从这一小部分选择的患者中，通过节段性切除治疗支气管癌的结果似乎并不比对小肿瘤进行更广泛的切除更差。
Of 4,000 patients with bronchial carcinoma, a small peripheral tumour in 17 was managed by segmental resection because the lesion palpated at thoracotomy was thought to be tuberculous, because the segment in which the tumour lay was separated from adjacent lung by an anatomically complete fissure, or to avoid unnecessary limitation of an already diminished respiratory reserve. One patient died as a direct result of operation; eight died from metastases or recurrence of tumour one to seven years after operation; three died from non-metastatic causes; and five are alive five to eight years after operation. From this small selected group of patients the results of management of bronchial carcinoma by segmental resection seem no worse than after more extensive resections for small tumours.