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40例全肺切除术占同期手术治疗肺癌的17.5%,男34例,女6例;年龄20~68岁;左全肺切除30例;40例病人中25例属中心型肺癌,肿瘤最大直径大于5cm者25例,占62.5%。全肺切除原因中占前三位的分别是侵及相邻肺叶、肺动脉受侵及主支气管受侵,不少病例具备两项全肺切除原因。大部分病例行心包外全肺切除术并先结扎肺动脉。手术死亡率为5%,并发症发生率17.5%。术后TNM分期Ⅰ期占2.5%,Ⅱ期占27.5%,Ⅲa期占67.15%,Ⅲb期占2.5%。术后1年及3年生存率分别为55.9%和35.0%。支气管切端阳性术后未放疗的10例全部死于1年以内。
40 cases of pneumonectomy accounted for 17.5% of lung cancer patients treated with surgery at the same time, 34 males and 6 females; aged 20 to 68 years; 30 cases of left pneumonectomy; 25 cases of 40 cases of central lung cancer, tumor The largest diameter is greater than 5cm in 25 cases, accounting for 62.5%. The top three causes of pneumonectomy were invading the adjacent lobes, invading the pulmonary arteries, and invading the main bronchus. In many cases, there were two reasons for pneumonectomy. Most patients underwent pericardial pneumonectomy and first ligated the pulmonary artery. The operative mortality rate was 5% and the complication rate was 17.5%. Postoperative TNM stage I stage accounted for 2.5%, stage II accounted for 27.5%, stage IIIa accounted for 67.15%, stage IIIb accounted for 2.5%. The 1-year and 3-year survival rates were 55.9% and 35.0%, respectively. All 10 patients who did not receive radiotherapy after bronchial excision had died within 1 year.