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目的探索肺及部分左心房切除术在治疗侵及左心房的IIIb期肺癌的效果。方法采用左心房部分切除加肺切除术治疗侵及左心房的IIIb期肺癌9例,术后给予常规化、放疗。结果本组无手术死亡,随访6个月至37个月。2例分别术后9个月、11个月死于肺癌脑转移,3例术后17~19个月死于全身癌转移,失访1例,余3例均健在。结论肺及左心房部分切除能明显延长侵及左心房的IIIb期肺癌的生存期,提高患者生活质量。
Objective To explore the effect of lung and partial left atrium resection in the treatment of stage IIIb lung cancer invading the left atrium. Methods Nine patients with stage IIIb lung cancer invading the left atrium were treated with partial resection of the left atrium and pneumonectomy. Conventional radiotherapy was given after operation. Results There was no operative death in this group, ranging from 6 months to 37 months. Two patients died of brain metastases from lung cancer at 9 months and 11 months after operation, respectively. Three patients died of systemic cancer metastasis from 17 to 19 months after operation, and one patient was lost to follow-up. The remaining 3 patients were alive. Conclusion The partial resection of the lung and left atrium can significantly prolong the life span of stage IIIb lung cancer invading the left atrium and improve the quality of life of patients.