心包内处理肺血管在局部晚期肺癌手术中的应用

目的 探讨心包内处理肺血管在治疗局部晚期肺癌手术中的适应证、手术技巧、术后并发症的防治.方法 回顾性分析1998年2月至2007年11月经心包内处理肺血管行局部晚期肺癌肺切除术43例临床资料.结果 全组病例无手术死亡,主要并发症是心律失常、急性肺水肿、肺部感染,发生率为41.86%,术后1、3、5年生存率分别为79.1%、30.2%、11.6%.结论 应用心包内处理肺血管技术提高了局部晚期肺癌的手术切除率,降低了手术探查率,使部分局部晚期患者获得了进一步治疗的机会.

Application of intrapericardial pneumonectomy in locally advanced lung cancer

Objective To probe into the indication, operative skill of intrapericardial pneumonectomy, the prevention and cure in postoperative complication of intrapericardial pneumonectomy for locally advanced lung canc-er. Methods The clinical data of 43 cases of locally advanced lung cancer undergoing intrapericardial pneumonec-tomy from February 1998 to November 2007 were retrospectively analyzed. Results No surgical death occurred. The main postoperative complication was arrhythmia, acute pulmonary edema and pneumonia, with incidence as 41. 86%. The 1-,3- and 5-year postoperative survival rate was 79.1% ,30.2% and 11.6%. Conclusions The intrap-ericardial pneumonectomy skill not only can improve resection rate, reduce exploration rate, but also offer more oppor-tunity of further therapy in a part of locally advanced lung cancer.