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在肺癌规范性手术中,有三点关键应予考虑:(1)肺的切除范围有多大?(2)如何处理文气管残端?(3)如何清除纵隔淋巴结?在左肺上叶癌中,应清除第11、10、7、6、5和2组的纵隔淋巴结,在右肺上叶癌中,应清除第11、10、7、4和3组的纵隔淋巴结,下叶和中叶中应清除第11、10、9、8和7组淋巴结。根据上述规则,我们设计了“肺癌规范性手术”原则,并按此原则对154例肺癌患者进行了此项手术,在1期患者与传统手术对比,规范性手术显著地改善了疗效。
In the normative surgery for lung cancer, there are three key points to consider: (1) What is the scope of lung resection? (2) How to deal with the stump? (3) How to remove mediastinal lymph nodes? In the left upper lobe carcinoma, mediastinal lymph nodes in the 11th, 10th, 7th, 6th, 5th, and 2nd group should be removed. In the right upper lobe carcinoma, the mediastinum in the 11th, 10th, 7th, 4th, and 3rd group should be removed. Lymph node, lower lobe and middle lobe should be removed in the 11th, 10th, 9th, 8th, and 7th groups of lymph nodes. In accordance with the above rules, we designed the principle of “regular surgery for lung cancer”, and according to this principle, 154 patients with lung cancer underwent this operation. In the first phase of the patient, compared with conventional surgery, standard surgery significantly improved the efficacy.