心包内处理肺血管全肺切除治疗中心型肺癌

目的 总结心包内处理肺血管全肺切除治疗中心型肺癌的临床结果。方法 回顾性分析1978－1999年间91例接受心包内处理肺血管全肺切除治疗中心型肺癌的临床资料。结果 91例中心型肺癌患者采取心包内处理肺血管全肺切除，占同期肺癌手术的5．6％。全组1、3、5年生存率分别为79．0％、37．3％、23．8％。本文讨论了该术式的适应证、操作体会、并发症处理和预后评价等。结论 心包内处理肺血管全肺切除是一种安全可靠的手术方式，可以提高手术切除率及术后生存期。肿瘤TNM分期、病理类型、切除部位及术后放、化疗对预后有显著影响。

Treatment of central-type lung cancer with intrapericardial pneumonectomy

Objective To summarize the clinical results of intrapericardial ligation of pulmonary vessels in the treatment of central type lung cancer. Methods Retrospective study was employed in this study. Results From 1978 to 1997, 91 patients with central type lung cancer underwent pneumonectomy by dealing with major pulmonary vessels inside the pericardium. The 1 , 3 , 5 year surival rates were 79.0%, 37.3%, 23.8% respectively. Indications, operative techniques, complications and prognostic factors were discussed in this paper. Conclusion Pneumonectomy with intrapericardial management of the pulmonary vessels is a safe and reliable procedure, which increases resection rate of lung cancer and improves the survival of patients with lung cancer. The prognostic factors for this technique are TNM staging, pathological types, resection site, postoperative radiotherapy and chemotherapy.