支气管袖式肺叶切除肺动脉成形术治疗中心型肺癌

摘要

Objective To summarize the experience with surgical treatment of central lung cancer with bronchial sleeve resection and pulmonary arterioplasty. Methods From May 1989 to May,2009,52 cases of central lung cancer with bronchial - pulmonary involvement received arterial sleeve resection and reconstruction. The operations included circumferential resection or sleeve lobectomy in 38 cases, double sleeve lobectomy in 12 cases, and carinal resection and reconstruction in 2 cases. Results There was 1 case of operative death and 5(9. 62% ) cases of operative complications. The survival rates at 12,36,60 months and 10 years were 75.8% ,57.4% ,34.6% and 13.2% respectively. Conclusion With the treatment of sleeve lobectomy or additional resection and reconstruction of pulmonary artery, great vessels or heart, the pulmonary function can be protected significantly, and the cure rate and the long term survival rate can be improved in patients with central lung cancer.%目的 总结支气管袖式肺叶切除、肺动脉成形术治疗中心型肺癌的临床经验.方法 回顾分析1989年5月至2009年5月收治的52例中心型肺癌患者,其中38例行支气管环状切除成形及支气管袖式肺叶切除术；12例行支气管肺动脉双袖式肺叶切除术；2例行气管隆突及半隆突切除重建合并肺叶切除术.结果 本组术后死亡1例,发生手术并发症5例次(9.62％).术后1、3、5和10年生存率分别为75.8％、57.4％、34.6％和13.2％.结论 以支气管袖式肺叶切除术为主的多种切除重建术式,能最大限度保护肺功能,提高了中心型肺癌的远期生存率和治愈率.