Abdominal Exploration in One‐Hundred Lung Carcinoma Suspects Prior to Thoracotomy
Abdominal Exploration in One‐Hundred Lung Carcinoma Suspects Prior to Thoracotomy
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一百名肺癌疑似患者开胸前腹部探查
DOI：
10.1097/00000658-196802000-00007
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发表时间：
1968
影响因子：
9
通讯作者：
J. W. Bell
中科院分区：
文献类型：
--
作者：
J. W. Bell
以往的研究表明，对于支气管源性癌，开胸前开腹手术是发现隐匿性肺外转移的有效辅助手术。这项研究的基础是原发性支气管癌转移到上腹部器官和淋巴结的高发生率。确定这样的转移与有限的生存时间的预期，将提示无效的治愈性肺切除术。另一方面，当胸外扩散不明显时，标准或扩展肺切除术很可能提供延长生存期的希望。开胸前腹部探查是选择那些可能从肺切除术中获益的患者的一种手段，对于那些不能从肺切除术中获益的患者则避免开胸手术。本报告描述了连续100例临床怀疑患有肺癌并适合开胸手术的患者剖腹手术的结果。
PREvoUs CoNNIUNICATIoNs*** indicate that laparotomy just prior to thoracotomy for bronchogenic carcinoma is a useful adjunctive proccdure for the discovery of occult extrapulmonary metastases. The basis for this exploration is the high incidence of metastases from primary bronchial cancer to the organs and lymph nodes of the upper abdomen. Determination of such metastases with the expectation of a lim-ited survival time would suggest the futil-ity of a curative pulmonary resection. On the other hand, when extrathoracic spread is not apparent, a standard or extended pul-monary resection may well offer the prom-ise of prolonged survival. Prethoracotomy abdominal exploration is a means of selecting those patients who will conceivably benefit from pulmonary resection and avoiding thoracotomy in those who will not. This report describes the results of laparotomy in 100 consecutive patients who were clinically suspected of having carcinoma of the lung and were candidates for thoracotomy.