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1、肺癌最佳治疗方案(Thebesttreatmentforlungcancer)ThebesttreatmentforlungcancerSurgicaltreatmentInthetreatmentoflungcancer,inadditiontoBIIIandIVperiod,shouldbetreatedbyoperationorsurgicaltreatmentforLED,accordingtodifferentpathologicaltypes,treatmentperiod,addradiotherapy,chemoth
2、erapyandimmunotherapy.Andtheindicationofsmallcelllungcancertreatment,theprogramneedstoberevisedandimprovedconstantlyinclinicalpractice.Thesurvivalrateoflungcancerafteroperationwas40%-60%,thefive一yearsurvivalratewas22.9%一44.3%,andtheoperativemortalityratewasbelow3%inthr
3、eecasesinchina・Accordingtotheinternationalstagingoflungcancerin1985,surgicaltreatmentoflungcancercaseswithstage0,stageI,IIandIIIisavailable・Theprinciplesofsurgicalresectionare:completeresectionoftheprimarylesionandlymphnodemetastasisinthethoraciccavity,andpreservationo
4、fnormallungtissueasfaraspossible・1.localresection:referstowedgeresectionandsegmentalresectionoflungcancer,thesmallsizeoftheprimarycancer,thefrailelderlypoorpulmonaryfunctionorcancerdifferentiation,malignancyislow,canbeconsideredaslocalresectionoflung.2.:lobectomyforsol
5、itaryperipherallungcancerconfinedtoonelobe,noobviouslymphadenopathy,feasiblelobectomy.Ifthetumorinvolvingtwolobesorintermediatebronchus,feasible,middleorbottom,twointhemiddlelobeoflungresection.Medicine・Study.All.In.Line・Net・Station.Offer1.sleevelobectomyandwedgesleeve
6、lobectomy:thisprocedureismostlyusedintherightlung,middlelobelungcancer,suchascarcinomainlobarbronchi,andinvolvingthelobarbronchus,feasiblesleevelobectomy;withoutinvolvingthelobarbronchus,lunglobewedgesleeveinfeasible・2.pneumonectomy(usuallynotrightpneumonectomy):ifthel
7、esionisextensiveandthelesioncannotberemovedbytheabovemethods,pneumonectomyshouldbeconsideredcarefully.3.:tumorresectionandreconstructionofcarinaandmainbronchusinvolvingthecarinaoroverthetrachealsidewallbutnotmorethan2cm1forcarinalresectionandreconstructionorsleevepneum
8、onectomy;ifstillretainalung,willstrivetoretain,operationaccordingtothecircumstancesatthattime.Anesthesia:generalendot
