支气管袖状肺叶切除术治疗中央型肺癌的临床的的研究

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1、AbstractABSTRACTobjeetive：Researchintothebronchialsleevelobectomy’s(BSL)technicalcharacteristicsandtheclinicalvalue．Methods：Analyzingretrospectively129centrallungcasesunderwentbronchialsleevelobectomy(BSL)treament，duringtheperiodfromNovember1991toDecember2004in

2、ThoracicSurgery,JiangxiProvinceTumourHospital．Amongthem，therewere41casesunderwentupper-fightbronchialsleevelobectomy(BSL)；5casesunderwentupperpulmonaryarteryandupper-rightbronchialsleevelobectomy(BSL)；3casesunderwentsuperiorvenacavasidecutplastyandupper-rightbr

3、onchialsleevelobectomy(BSL)；1casesunderwentpartialmastectomyoesophagusmusclarlayerandupper-rightbronchialsleevelobectomy(BSL)；6casesunderwentinferior-rightbronchialsleevelobectomy(BSL)；11casesunderwentmidst—fightbronchialsleevelobectomy(BSL)；7casesunderwentcari

4、nareconstructionplastyandupper-rightbronchialsleevelobectomy(BSL)；36casesunderwentupper-leftbronchialsleevelobectomy(BSL)；1casesunderwentleftatriumsidecutandupper-leftbronchialsleevelobectomy(BSL)；7casesunderwentcarinareconstructionplastyanduppevleftbronchialsl

5、eevelobectomy(BSL)；15casesunderwentinferior-rightbronchialsleevelobectomy(BSL)．Postoperativechemotherapy77cases，postoperativeradiotherapy19cases．Results：Intheoperationstherewasnocaseofdeath，1caseofintraoperativecardiac，whichgetrecoveredafteremergencyrescuesbyin

6、trathoraciccardiacmassageanintravenousadrenalineandatropine，6casesofatelectasis，4casesofarrhythmia，1caseofanastomoticfistula,2casesofpulmonaryinfection．Afteractivetreament，allpatientsgotrecoveryandlefthospital．Theirpostoperativepathologicdiagnoseswerelungcancer

7、,includingsquamouscellcarcinoma85cases；adenocarcinoma19cases；smallcellcarcinoma9cases；largecellcarcinoma2cases；mixedcarcinoma9cases，alveolarcellcarcinoma2cases，othercancertypes3cases．Pathologicstage(takeUICC2009yearsTNMstagingasstandard)：stageI，30cases；stageII2

8、0cases；stageIIIa，75cases；stageIIIb，8cases；12casesofbronchialthecutedgepositive．IIIAbstractAmongthe103survivalsinvestigatedpostoperatively，thelongestsurvivaltimeis216months，t