袖式肺叶切除治疗中央型肺癌41例

Treatment of 41 patients with central lung cancer by sleeve-lobectomy

摘要:

目的：总结袖式肺叶切除治疗中央型肺癌的临床体会。方法：我院从2002年1月至2012年12月共完成袖式肺叶切除41例：其中支气管袖式肺叶切除15例，支气管袖式肺叶切除联合肺动脉成形术17例，支气管肺动脉双袖式肺叶切除9例。通过回顾分析总结临床经验。结果：术后支气管胸膜瘘死亡1例，1例术后咳血，5例肺部感染，5例发生肺不张。结论：袖式肺叶切除术是治疗部分中央型肺癌安全、有效的方法，扩大了手术适应证，能最大程度的减少功能肺的丧失。

Abstract:

Objective：To summarize the clinical experiences of treating central lung cancer with sleeve-lobectomy resection. Methods：From January 2002 to December 2012，41 cases of sleeve-lobectomy resection were finished，in which there were 15 cases of bronchus sleeve lobectomy，17 cases of bronchus sleeve lobectomy combined with the pulmonary arterioplasty and 9 cases of double-sleeve pulmonary lobectomy with bronchus pulmonary artery. Clinical experiences were summarized and retrospectively analyzed. Results：After the surgery，one patient with bronchopleural fistula died，one got hemoptysis，five got pulmonary infection and five got pulmonary atelectasis. Conclusion：Sleeve-lobectomy resection is safe and effective in the treatment of central lung cancer，which can expand the operative indications and reduce the loss of lung function to a maximum degree.