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【目的】评估肺癌肺叶袖状切除术的围手术期安全性。【方法】回顾分析了1994年10月至2003年12月行肺癌根治术的94名病例,其中肺叶切除术66例(Ⅰ组),肺叶袖状切除术11例(Ⅱ组),全肺切除17例(Ⅲ组)。【结果】Ⅰ、Ⅱ、Ⅲ组的手术死亡率为3.0％,0,11.8％(P>0.1);中位气管插管时间为0.6(0～5)d,0.5(0～7)d,2.0(0-14)d(Ⅰ、Ⅱ、Ⅲ组,P<0.05);吻合口并发症率为3.0％,0,5.8％(P>0.1)。【结论】肺叶袖状切除术较标准肺叶切除术并不增加围手术期并发症率和死亡率,对可切除的中央型肺癌较全肺切除术更加安全,但其远期疗效尚需观察。
【Objective】 To evaluate the perioperative safety of lung lobe sleeve resection. 【Methods】 Ninety-four cases of radical resection of lung cancer from October 1994 to December 2003 were retrospectively analyzed. Among them, there were 66 cases of lobectomy (group Ⅰ), 11 cases of lobectomy (Ⅱ group), pneumonectomy 17 cases (group Ⅲ). 【Results】 The operative mortality rates in group Ⅰ, Ⅱ and Ⅲ were 3.0%, 0 and 11.8%, respectively (P> 0.1). The median time for tracheal intubation was 0.6 (0-5) days and 0.5 (0-7 days) 2.0 (0-14) d (Ⅰ, Ⅱ, Ⅲ, P <0.05). The complication rate of anastomosis was 3.0%, 0, 5.8% (P> 0.1). 【Conclusions】 Compared with standard lobectomy, the lobe sleeve resection does not increase the perioperative complications and mortality rates. It is safer to resectable central lung cancer than pneumonectomy, but its long-term efficacy needs to be observed.