外科手术治疗侵犯心脏大血管的局部晚期肺癌

目的 总结外科手术治疗侵犯心脏大血管的局部晚期肺癌的经验。方法 回顾性分析我科1980－2001年118例侵犯心脏大血管肺癌的外科治疗资料。结果 118例患者中左心房及左心耳部分切除术38例，肺动脉成形术48例，上腔静脉置换或部分切除25例，肺动脉圆锥部分切除3例，自体肺叶再植4例，全组无手术死亡。本组1年生存率为72.68%，3年生存率为55.20%，5年生存率为28.62%，10年生存率为20.36%。结论 外科手术治疗侵犯心脏大血管的局部晚期肺癌，能明显提高患者的术后生存率和生活质量。

Surgical treatment for locally advanced lung cancer invading heart and great vessels

Objective To summarize the surgical treatment for locally advanced lung cancer invading heart and great vessels. Methods One hundred and eighteen cases of lung cancer accepting cardiovascular plasty operation from 1980 to 2001 were reviewed. Results The operations included partial resection of left atrium in 38 cases, pulmonary artery resection and restruction in 48 cases, replacement or partial resection of superior vena cava in 25 cases, partial resection of pulmonary conus in 3 cases, and lober replantation in 4 cases respectively. There was no perioperative death, and the 1 , 3 , 5 and 10 year survival rate was 72.68%, 55.20%, 28.62% and 20.36% respectively. Conclusion Cardiovascular plasty in the surgical treatment of locally advanced lung cancer invading heart or great vessels can remarkably increase the long term survival and improve the life quality of the patients.