中国肺癌杂志2018，Vol.21Issue(4)：313-317,5.DOI:10.3779/j.issn.1009-3419.2018.04.17
体外循环辅助下难治性胸部肿瘤的外科治疗
Surgical Treatment of Refractory Chest Tumors Assisted by Cardiopulmonary Bypass
朱蓉英 1段善州 1杨文涛 1施立 1张福全 1陈勇兵1
作者信息
- 1. 215004 苏州,苏州大学附属第二医院胸心外科
- 折叠
摘要
Abstract
Background and objective A retrospective review of the surgical treatment of refractory chest tumors involving the heart or large vessels with cardiopulmonary bypass (CPB). Methods To summarize 11 cases of chest tumor patients who had undergone cardiopulmonary bypass surgery from January 2008 to May 2017 in our hospital, and analyze the general condition, clinical characteristics, treatment methods, postoperative hospitalization time, complications and follow-up results of all patients. Results All 11 patients were operated with cardiopulmonary bypass. Total resection of tumors in 8 cases and most of the excision in 3 cases. 1 case of left atrial metastatic leiomyosarcoma were excised in the left atrium, and then the right lung resection was performed. 1 case of left lung central lung cancer resection through the median sternum incision. 2 cases underwent pulmonary artery repair at the same time, 3 cases underwent partial pericardiectomy and 3 cases underwent pulmonary wedge resection at the same time. All the patients were effectively relieved after the operation. No death rate in hospital and 30 days after operation. 3 cases of postoperative pulmonary infection were recovered after the treatment of antibiotics. 1 case of lymphoma relapsed 6 months after surgery and died one year later. 1 case of pericardial fibrosarcoma had local recurrence and extensive metastasis at 13 months after operation, and died after 15 months. 1 case of pulmonary leiomyosarcoma were found to have local recurrence 15 months after the operation and were relieved after chemotherapy. The remaining 8 patients survived, and no obvious recurrence and distant metastasis were found in the computed tomography (CT) examination. Conclusion The CPB assisted surgical treatment can be performed for patient of refractory chest tumors involving the heart or large vessels. It can improve the surgical resection rate of refractory chest tumors, effectively alleviate the effects on respiratory and circulatory functions, and significantly prolong the survival period of these patients.关键词
胸部肿瘤/体外循环/外科治疗Key words
Thoracic tumor/Cardiopulmonary bypass/Surgical treatment引用本文复制引用
朱蓉英,段善州,杨文涛,施立,张福全,陈勇兵..体外循环辅助下难治性胸部肿瘤的外科治疗[J].中国肺癌杂志,2018,21(4):313-317,5.
