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把肺的新肿物认为是第二次、第三次原发性肺癌并相继切除仍是有争议的问题。作为新的原发性肿瘤其确定标准是;1.组织类型的不同;2.初次与第二次及第三次间有较长的间期;3.位于对侧或同侧不同肺叶的肿瘤。作者自1960～1983年对90例支气管肺癌病人做了多次切除术,其中10例是同期多发肿瘤,其余80例为相继发生,最长切除间隔时间是17年4个月。首次切除中,肺切除11例,肺叶切除43例,袖状切除8例,肺段切除27例,隆突切除1例。第二次手术,肺段切除55例,肺叶切除11例,全肺叶切除6例,全肺切除15例,胸骨切开双侧切除术2例,气管切除1例。第三次手术:肺段切除7例,全肺叶切除2例,全肺切除2例。第二次手术死亡率8%;第三次手术无死亡。80例相继发生肿瘤患者,第
It is still a controversial issue to consider the new tumor of the lung as the second and third primary lung cancer and to remove it in succession. As a new primary tumor, the determination criteria are: 1. The difference in tissue type; 2. There is a longer interval between the first and second and third times; 3. The tumor located in the contralateral or ipsilateral different lobe . The authors performed multiple resections for 90 patients with bronchial lung cancer from 1960 to 1983. Among them, 10 cases were multiple tumors at the same time, and the remaining 80 cases occurred one after another. The longest resection time was 17 years and 4 months. For the first resection, there were 11 cases of lung resection, 43 cases of lobectomy, 8 cases of sleeve resection, 27 cases of resection of the lung segment, and 1 case of keel resection. In the second operation, there were 55 cases of segmental excision, 11 cases of lobectomy, 6 cases of total lobectomy, 15 cases of pneumonectomy, 2 cases of sternotomy bilateral resection, and 1 case of tracheal resection. The third operation included 7 cases of segmental resection, 2 cases of total lobectomy, and 2 cases of pneumonectomy. The second surgery had a mortality rate of 8%; there was no death in the third operation. 80 cases of tumor patients in succession