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目的 探讨隆凸切除重建术在肺癌及气管下段癌治疗中的意义及手术经验。方法 采用ＳＴＡＴＡ ５．０软件建立１６例隆凸切除重建术的病历资料数据库并进行统计分析。生存率用直接法计算。结果 本组右肺上叶切除隆凸重建术７例、右肺全肺切除隆凸重建术５例、纯隆凸切除隆凸重建术３例及左全肺切除隆凸重建术１例。术后并发症发生率５０．０％（８例１２次），术后３０天死亡率１８．８％（吻合口瘘２例，术后大出血１例）。本组有２例生存超过５年（鳞癌及粘液表皮样癌各１例，均为Ｔ_４Ｎ。）。结论 隆凸重建术右胸后外切口径路术暴露好，手术操作方便。而术后并发症发生率和术后３０天死亡率均较高，无淋巴结转移者预后较好。
Objective To investigate the significance and surgical experience of carinate resection and reconstruction in the treatment of lung cancer and tracheal cancer. Methods A total of 16 cases of congenital salvage resection and reconstruction of the medical history data were established by STATA 5.0 software and analyzed statistically. Survival rate calculated using the direct method. Results In the present study, there were 7 cases of right upper lobe resection and bulging reconstruction, 5 cases of right lung pneumonectomy and reconstruction, 3 cases of pure bulging and convex reconstruction, and 1 case of left pneumonectomy and reconstruction. Postoperative complication rate was 50.0% (8 cases, 12 times) and 30 days postoperative mortality rate was 18.8% (2 cases of anastomotic leakage and 1 case of postoperative bleeding). In this group, 2 patients survived more than 5 years (squamous cell carcinoma and mucoepidermoid carcinoma in 1 case, both T_4N.). Conclusion Reconstruction of right posterior chest thoracotomy incision surgery is good, surgical convenience. The incidence of postoperative complications and 30 days postoperative mortality were higher, no lymph node metastasis better prognosis.