Lobectomy with sleeve resection in the treatment of tumors of the bronchus.
Lobectomy with sleeve resection in the treatment of tumors of the bronchus.
复制标题
肺叶切除术和袖状切除术治疗支气管肿瘤。
DOI：
10.1378/chest.80.2.154
复制
发表时间：
1981
期刊：
影响因子：
9.6
通讯作者：
Sj.Sc. Wagenaar
中科院分区：
文献类型：
--
作者：
J.M.M. Van Den Bosch;P. Bergstein;C.D. Laros;H. Gelissen;A.L.E.M.S. Schaepkens van Riempst;Sj.Sc. Wagenaar
我们评估了50例支气管肿瘤患者的右上叶切除术和右主支气管袖状切除术的结果。4名患者（8%）在手术期间或术后死亡。在1960年至1974年间接受手术治疗的22名患者中，有8名患者的肺门淋巴结呈肿瘤阳性。他们死于切除的癌的后续扩展。22例患者中有14例没有淋巴结转移，其中9例（64%）在5年后存活，没有可检测到的复发。肺门淋巴结阳性者不宜行袖状切除术。在这些情况下，当肺切除术从功能的角度来看是不可能的，袖状切除术被认为是一种姑息性手术。
We evaluated the results of right upper lobectomy with a sleeve resection of the right main bronchus in 50 patients with a bronchial neoplasm. Four patients (8 percent) died during surgery or postoperatively. Eight of the 22 patients who underwent surgery for carcinoma between the years 1960 and 1974 had tumor-positive hilar lymph nodes. They died as a result of subsequent extension of the resected carcinoma. Fourteen of the 22 patients had no lymph node metastasis and nine of them (64 percent) were alive after five years without detectable recurrence. The finding of positive hilar lymph nodes contraindicates sleeve resection. In these cases, when pneumonectomy is impossible from a functional point of view, sleeve resection is to be regarded as a palliative procedure.