Completion pneumonectomy for lung cancer treatment: early and long term outcomes.
Completion pneumonectomy for lung cancer treatment: early and long term outcomes.
复制标题
肺癌治疗的全肺切除术：早期和长期结果
DOI：
10.1186/1749-8090-7-107
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发表时间：
2012-10-09
影响因子：
1.6
通讯作者：
Jiang G
中科院分区：
文献类型：
--
作者：
Zhang P;Jiang C;He W;Song N;Zhou X;Jiang G
BackgroundTo分析在中国单一机构完成肺切除术治疗肺癌的经验。方法从1988年1月至2007年12月，92例患者接受了完整的肺切除术治疗肺癌。适应症为第二原发性肺癌（n = 51）、局部转移（n = 37）和肺转移（n = 4）。初次手术和CP之间的中位间隔为24.4个月（1.5-145 m）。CP手术持续4.3 h（1.5-8 h）。CP术中失血量为1854.5 ml（200-9100毫升）9（9.78%）患者在术后期间死亡：肺栓塞（n = 2），多系统衰竭后弥散性血管内凝血（DIC）（n = 1），对侧肺炎后呼吸衰竭（n = 5），支气管胸膜瘘（BPF）伴急性呼吸窘迫综合征（ARDS）1例，31例（33.7%）患者至少有1例严重非致死性并发症。结论肺癌全肺切除术虽然并发症较多，但对熟练的外科医生来说是一种安全的手术方式，远期生存率可以接受。
BackgroundTo analyze the experience of completion pneumonectomy for lung cancer at a single institution in China.MethodsFrom January 1988 to December 2007, 92 patients underwent completion pneumonectomy for the treatment of lung cancer. The indications were second primary lung cancer (n = 51), Local metastasis (n = 37) and Lung metastasis (n = 4). The median interval between the primary operation and CP was 24.4 months (1.5-145 m).ResultsThere was no intraoperative deaths. The CP procedure lasted 4.3 h (1.5-8 h). Blood loss in the CP performance was 1854.5 ml (200-9100 ml) 9 (9.78%) patients died in the postoperative period: pulmonary embolism (n = 2), disseminated intravascular coagulation (DIC) after the multisystem failure (n = 1), respiratory failure after contralateral pneumonia (n = 5), bronchopleural fistula (BPF) with acute respiratory distress syndrome (ARDS) (n = 1) 31(33.7%) patients had at least one major nonfatal complication. The 1, 3 and 5 year survival rates were 81%, 26% and 14% respectively.ConclusionsCompletion pneumonectomy for lung cancer is a safe surgical procedure for the skilled surgeon though it has a relatively higher complications and the long-term survival is acceptable.
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影响因子：
6
作者：
Fujimoto, T;Zaboura, G;Stamatis, G
通讯作者：
Stamatis, G
影响因子：
4.6
作者：
MCGOVERN, EM;TRASTEK, VF;PAYNE, WS
通讯作者：
PAYNE, WS
影响因子：
4.6
作者：
MASSARD, G;LYONS, G;MORAND, G
通讯作者：
MORAND, G
影响因子：
3.4
作者：
Guggino, G;Doddoli, C;Fuentes, P
通讯作者：
Fuentes, P
影响因子：
3.4
作者：
Chataigner, Olivier;Fadel, Elie;Dartevelle, Philippe G.
通讯作者：
Dartevelle, Philippe G.