最近研究显示,对单个的周围型肺癌只需作楔形切除及肺段切除术就已足够。这些手术特别适用于不能耐受较肺段切除范围更大的病人。对于以前作过对侧肺叶切除、心功能低下以及有严重肺功能不全的病人,为大块肺叶切除的禁忌症。作者将病灶属周围型(TNoMo)者作楔形切除,进行随访并与患相似病灶而作肺叶切除者进行比较。 Recent studies have shown that it is sufficient for a single peripheral lung cancer to require only wedge resection and segmentectomy. These procedures are particularly suitable for patients who cannot tolerate greater range of resections. For patients who have undergone contralateral lobectomy, low heart rate, and severe pulmonary insufficiency, contraindications for massive lobectomy. The authors performed a wedge-shaped resection of the lesions of the peripheral type (TNoMo) for follow-up and comparison with those with similar lesions for lobectomy.