摘要
报告108例原发性肺癌拟行肺切除术改为剖胸探查术,占同期手术的16.7%。其中男90例,女18例。放弃切除术的主要原因是“肺门冻结”、上腔静脉及主动脉受侵、心包内血管受侵、肋胸膜广泛转移、肺动脉受侵等。作者认为全面、仔细、综合分析术前各项资料,有助于减低探查率,可避免一些无意义的探查手术,对于T_3N_2。的病例尤应慎重。
According to the findings upon thoracic exploration, 108 cases (male 90,
female 18) with lung cancer (about 16. 7% of the total cases in the same period) were con-
sidered to be unsuitable for pneumonectomy. The contraindications for pheumonectomy in-
cluded: (1)'frozen' hilus; (2) involvement of superior vena cava and aorta; (3) invasion of
intrapericardial vessels and pulmonary arteries;and (4) extensive pleural metastasis. The au-
thors' opinion is that in order to avoid unnecessary explorations, the aforementiond condi-
tions should be carefully searched for, particularly in T_3N_2 patients.
关键词
肺肿瘤
癌
切除术
剖胸
探查术
lung cancer
pneumonectomy
thoracic exploration
