局解手术学杂志2012，Vol.21Issue(6)：628-630,3.
支气管袖式肺叶切除治疗中央型肺癌的手术技巧和围术期处理
Surgical techniques and peri-operative management of sleeve lobectomy for central lung cancer
康珀铭 1谭群友 1王如文 1邓波 1周景海 1蒋耀光1
作者信息
- 1. 第三军医大学大坪医院野战外科研究所全军胸外科研究所,重庆400042
- 折叠
摘要
Abstract
Objective To explore surgical techniques and perioperative management of sleeve lobectomy for central lung cancer. Methods From January 2007 to November 2011, 78 cases with central non-small cell lung cancer in our hospital received sleeve lobectomy. The clinical outcomes including intra-and post-operative complications, rehabilitation after surgery were evaluated. The surgical techniques and experience of peri-operative management for patients were summarized. Results Operations were successfully performed in all cases. 61 cases were performed by thoracotomy (78. 3% ) , 17 cases treated by video-assisted mini-thoracotomy ( VAMT, 21.7%). 72 cases (92. 3% ) were removed single lobe, 6 cases (7.7% ) received double lobe resection. In all of the cases, 18 operations of sleeve lobectomy were completed combined with pulmonary arterioplasty (23. 1% ) , 3 cases combined with pulmonary artery sleeve resection because of pulmonary artery invasion by tumor. There was no peri-operative death. 2 cases were complicated with intra-and post-operative hemorrhea (2. 6% ) , 1 case with bronchopleural fistula (1. 3% ) , 3 with heart failure (3.8%), 13 with cardiac dysrhythmia (16. 7% ) , 5 with pulmonary infection (6. 4% ) and 6 with atelectasis (7. 7% ). All patients went through peri-operative period smoothly by active clinical treatment. Conclusion Appropriate surgical techniques and peri-operative management could prevent and control complications of sleeve lobectomy. Operation via VAMT might offer full exposure and reduce operative invasiveness.关键词
肺癌/支气管袖式切除术/电视胸腔镜辅助小开胸手术Key words
lung cancer/ sleeve lobectomy/ video-assisted mini-thoracotomy分类
医药卫生引用本文复制引用
康珀铭,谭群友,王如文,邓波,周景海,蒋耀光..支气管袖式肺叶切除治疗中央型肺癌的手术技巧和围术期处理[J].局解手术学杂志,2012,21(6):628-630,3.
