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Macau Periodical Index (澳門期刊論文索引)
- Author
- Wu, Mingbai; Zhang, Zhu; Xiaheding, Yiliyear; Zhang, Changming; Zhang, Liwei; Zhu, hui; Li, Desheng
- Title
- Application of tracheobronchoplasty and carinal reconstruction in the treatment of lung cancer
- Journal Name
- 澳門醫學雜誌
- Pub. Info
- 2007年3月26日, Vol.7, No.1, pp. 5-8
- Link
- https://www.ssm.gov.mo/docs//2208/2208_66c008b2b7734c7292e944b5ce4a5bf9_000.pdf
- Keyword
- Tumor of lung；Surgical treatment；Carinal reconstruction；Bronchoplasty；Arterioplasty
- Abstract
- Objective: Reconstruction of carina, tracheobronchoplasty and arterioplasty are widely used around the world to extend the indications for lung cancer operation. These procedures could preserve as many healthy tissues as possible, so their therapeutic effects are better than pneumonectomy in many central lung cancer patients with poor cardiopulmonary function. The aim of this study was to explore the feasibilities and indications of extended resection in selected centrally located lung cancer patients. Method: From November 1979 through January 2005, all 58 cases of centrally located lung cancer patients were undergone lobectomy or pneumonectomy, including simultaneous carinal reconstruction, trachoplasty and bronchoplasty in 56 cases and arterioplasy in 2 cases. Result: Postoperative complications occurred in 4 cases (6.9%), death in 2 cases (3.4%). All of the 58 cases were followed up from 1 to 10 years, and the 1 year, 3 years 5 years and 10 years of survival rates were 90.13% (46/51), 62.5% (25/40), 44% (11/25) and 25% (3/12) respectively. Conclusion: Extended Lobectomy or pneumonectomy with carial reconstruction, tracheobronchoplasty or arterioplasty simultaneously are feasible for selected patients with central lung cancer. These procedures could preserve as much healthy lung tissues as possible and could maximally resect the tumors. Therefore, patient life span is prolonged. Paragraph Headings: 1. Clinical Data 1.1. General Date 1.2. Clinical Classification and Tumor Size 1.3. Histological examination 1.4. Method of surgical procedure 2. Results 3. Discussion