心包内全肺切除术治疗中央型肺癌

目的探讨心包内全肺切除的手术方式及临床疗效。方法64例Ⅲ型中央型肺癌，其中鳞癌31例，腺癌22例，混合细胞癌11冽。按照统一手术方式，术后观察一年及三年生存率。结果患者经手术及术后处理痊愈出院，1年生存率82％，3年生存率31．5％。结论心包内全肺切除能使部分中晚期中央型肺癌手术切除成为可能，且能避免心包外处理解剖不清而出现的并发症。

Innerpericardial total pneumonectomy for central trpe carcinoma of Iung

Objective To explore the way of operation of innerpericardial total pneumonectomy and its clinical effect. Methods Unified operation was conducted to treat 64 cases of central type Ⅲ carcinoma of lung,among whom 31 cases were squamous carcinoms,22 cases were adencarcinoma, 11 cases were mixed cell cancer. Then their one - year and three - year survival rate after operation were observed. Results Through operation and postoperative treatment, the patients recovered and were discharged from hospital, their oneyear survival rate reached 82%, three - year survival rate reached 32. 5 %. Conclusion Innerperivardial total pneumonectomy can make the excision of mediate and advanced - stage central type carcinoma of lung possible,and it can also avoid complications caused by unclear extrapericardial dissection.