肺癌に対する気管・気管支形成術と予後(気管・気管支形成術の問題点)

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Sixty-four patients with lung cancer underwent bronchoplastic surgery in our institute from September, 1965 to Dec., 1982. The post surgical stages of disease were as follows : 8 cases of Stage I disease, 7 cases of Stage II, 45 cases of Stage III, 4 cases of Stage IV. The bronchoplastic surgery performed included sleeve resection combined with lobectomy in 46, wedge resection combined with lobectomy in 13, reconstruction of the lower area of the trachea in 5, bronchial sleeve resection combined with pulmonary artery resection in 6 and bronchial wedge resection combined with pulmonary artery resection in 2. There was one case of operative mortality within 30 days after the operation. To prevent postoperative complications, careful techniques are required in suturing and postoperative bronchoscopic suction of intrabronchial secretion is necessary. The use of Dexon or Dexon S, polyglycolic acid sutures, showed good results. Adjuvant therapies were performed on 44 cases, including preoperative infusion of Mitomycin C into the bronchial arteries or postoperative irradiation or both. Twenty-eight of 64 were alive and well from 7 months to 17 years after the operations. The relative 5 year survival rates were 35.4 per cent in total cases and 39.9 per cent in those with squamous cell carcinomas. The prognosis of patients undergoing bronchoplasty was compared with that of patients undergoing lobectomy and pneumonectomy. there was a statistical difference between bronchoplasty and pneumonectomy.
日本呼吸器内視鏡学会の論文
1983-12-25

肺癌に対する気管・気管支形成術と予後(気管・気管支形成術の問題点)

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