论文部分内容阅读
目的寻求侵犯肺静脉根部及左心房的局部晚期非小细胞肺癌患者的外科治疗方法,提高手术疗效。方法总结37例局部晚期非小细胞肺癌患者在非体外循环下行肺切除加左心房部分切除术的经验。包括左肺下叶切除术1 9例,左全肺切除术6例,右肺中下叶切除术5例,右肺下叶切除术2例,右全肺切除术5例。肿瘤侵及肺静脉根部与心房交界处近心端31例,明显侵犯左心房6例。结果本组无手术死亡,术后发生并发症11例,其中心律失常8例次,肺炎、肺不张5例次,心功能不全1例次。1、3年生存率分别为80.1%、31.5%,4例生存>5年。结论肺癌累及左心房或肺静脉根部时应切除部分左心房以达到根治性切除,从而延长患者寿命,提高生存质量。
Objective To seek surgical treatment of patients with locally advanced non-small cell lung cancer who infringe the roots of pulmonary veins and the left atrium, and to improve the curative effect. Methods The clinical data of 37 patients with locally advanced non-small cell lung cancer undergoing off-pump and partial atrium excision undergoing off-pump were summarized. Including 19 cases of left lower lobe resection, 6 cases of left pneumonectomy, 5 cases of middle and lower right lobe resection, 2 cases of right lower lobe resection and 5 cases of right pneumonectomy. Tumor invasion and pulmonary vein root and atrium at the junction of the proximal end of 31 cases, 6 cases of a clear violation of the left atrium. Results There was no operative death in this group. There were 11 postoperative complications including 8 cases of arrhythmia, 5 cases of pneumonia and atelectasis, and 1 case of cardiac insufficiency. The 1-year and 3-year survival rates were 80.1% and 31.5% respectively, and 4 patients survived for> 5 years. Conclusion Lung cancer involving the left atrium or pulmonary vein roots should be removed when part of the left atrium excision to achieve radical resection, thereby extending patient life expectancy and improve quality of life.