支气管哮喘并发肺癌的联合手术治疗

目的 探讨支气管哮喘患者并发肺癌进行联合手术的可行性。方法 在根治性切除肺部肿瘤的同时,采用肺门神经彻底切断术治疗支气管哮喘。１例右上叶周围型肺癌,行右上肺叶切除、淋巴结清扫的同时作同侧肺门迷走神经和交感神经的彻底切断。另１例左上肺巨大中心型肺癌,行全肺切除后,摘出可保留的左下肺叶,采用自体肺移植技术将其重植于原左肺上叶位置。结果 随访至１９９９年１１月底,２例已分别存活６年８个月及１７个月。术后

Surgery for lung cancer complicated by bronchial asthma

Objective　To assess surgery for lung cancercomplicated by bronchial asthma.　Methods　Lung hilum denervation wasperformed for asthma during radical resection of lung cancer. One patient with peri-pheralbronchogenic carcinoma in the right upper lobe underwent upper lobectomy and extensivedissection of lymph-nodes. Simultaneously, lung hilum denervation was done by completsampatation of the sympathetic and parasympathetic nerves around the lung hilum. Anotherpatient with central bronchogenic carcinoma in the left upper lobe underwent lungautotransplantation. Pneumonectomy was performed, and the tumor parts of the lung wereresected subseguantly and the preservable parts of the lung were replanted into the bed ofthe upper lobe.　Results　Follow-up showed that the two patients hadbeen alive with tumor free for 80 months and 17 months respectively and the time ofpostoperative mechanical ventilation was 4 and 18 hours. The frequency of asthma paroxysmdecreased and the severity attenuated. Parameters of blood gas and lung function wereimproved.　Conclusions　The poor lung function caused by asthma shouldnot be regarded as a contradiction for the remaval of lung cancer. Complete denevationaround the lung hilum during the radical resection of lung cancer may contribute to thebetter treatment of lung cancer and asthma.