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気管・気管支形成術を中心とした肺門型早期扁平上皮癌の手術成績


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Title: 気管・気管支形成術を中心とした肺門型早期扁平上皮癌の手術成績
Other Titles: The Results of Tracheobronchoplasty for Hilar Type Early Lung Cancer
Authors: 綾部, 公懿 / 村岡, 昌司 / 中村, 昭博 / 田川, 努 / 糸柳, 則昭 / 辻, 博治 / 原, 信介 / 田川, 泰 / 川原, 克信 / 富田, 正雄
Authors (alternative): Ayabe, Hiroyoshi / Muraoka, Masashi / Nakamura, Akihiro / Tagawa, Tsutomu / Itoyanagi, Noriaki / Tsuji, Hiroharu / Hara, Shinsuke / Tagawa, Yutaka / Kawahara, katsunobu / Tomita, Masao
Issue Date: 20-Aug-1993
Publisher: 日本肺癌学会
Citation: 肺癌 = Japanese Journal of Lung Cancer, 33(4), p.487-493; 1993
Abstract: 肺門型早期扁平上皮癌11例の外科治療成績について報告した.男性10例, 女性1例で平均年齢は63.5才(55~68)であった.肺癌の発見動機は検診6例, 他疾患経過中1例, 血痰等の呼吸器症状4例であった.全例扁平上皮癌である.11例中1例では主気管支, 左右の区域支の3ヵ所の同時性多発早期癌であった.手術々式は気管分岐部切除2例, 気管支形成1例, 肺葉切除+気管支形成3例, 区域切除+気管支形成2例, 肺葉切除2例, 右主気管支形成, 右S^<9+10>, 左S^<1+2+3>の区域切除1例であった.5例(45%)に術後合併症をみたが, 手術死, 入院死亡例はなかった.11例中7例が術後2, 3, 4, 19, 39, 48, 50ヵ月再発なく生存中であるが, 4例が術後13, 18, 36, 147ヵ月後各々呼吸不全, 悪性リンパ腫, 多発肺癌, 脳梗塞にて死亡した.肺門型早期扁平上皮癌例では気管・気管支形成術を併用し可及的に肺機能の温存をはかった術式を選択するべきである. / We analyzed the results of 11 cases of hilar type early stage lung cancer treated surgically. There were 10 males and one female with a mean age of 63.5 years(range 55 to 68). The reasons why early lung cancer was detected were screening for early stage lung cancer by chest roentgenogram and cytologic sputum study in 6 patients, chest roentgenogram in follow-up study for coronary disease in one, and respiratory symptoms in 4. All patients had squamous cell carcinoma localized in the bronchial wall without regional lymph node metastasis. One of the 11 cases had multiple simultaneous early lung cancer(right main stem bronchus, right B9+10 and left B1+2). Operative procedures were carinal resection in 2 patients, bronchoplasty in one, lobectomy with bronchoplasty in 3, segmentectomy with bronchoplasty in 2, lobectomy in 2 and bronchoplasty combined with bilateral segmentectomies in one. Postoperative complications occurred in 5 patients (45%). However, there were no operative deaths or hospital deaths. Seven patients are alive without disease at 2, 3, 4, 19, 39, 48 and 50 months after operation. Four patients died of respiratory failure at 13, malignant lymphoma at 18, subsequent lung cancer at 36, and cerebral infarction at 147 months after resection. Lung preserving procedures by tracheo-bronchoplasty are recommended for hilar type early stage lung cancer.
Keywords: Early lung cancer / Occult lung cancer / Squamous cell carcinoma / Tracheo-bronchoplasty / Segmentectomy
URI: http://hdl.handle.net/10069/20239
ISSN: 03869628
Relational Links: http://ci.nii.ac.jp/naid/110003112672/
Rights: 日本肺癌学会 / 本文データは学協会の許諾に基づきCiNiiから複製したものである
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/20239

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