surgery
In the treatment of lung cancer, in addition to surgery or surgical treatment, it is based on surgery, according to different periods and pathological tissue types, the comprehensive treatment of radiotherapy, chemotherapy and immunotherapy. Regarding the survival period after lung cancer surgery, the three-year survival rate is approximately 40% to 60%; the five-year survival rate is about 22% ~ 44%; the surgical mortality rate is less than 3%.
First, the surgical indication
Has the following conditions of the following conditions, generally can be treated:
1. There is no transfer person, including substantial organs such as liver, brain, adrenal, bone, chest lymph nodes, etc .;
2. Cancer tissue does not have a proliferator adjacent to organs or tissues in the chest, such as aortic, superior venous, esophagus, and cancer van.
3. No serious heart and lung function is low or the auto-pour pectoris of the near future;
4. There is no serious and liver and kidney disease and severe diabetes.
The following conditions should generally be careful for surgery or further examination of treatment:
1. The year-old bulk is poor;
2. Small cell lung cancer is preferably chemotherapy or radiotherapy in addition to I, and then determine whether it can be treated;
3. There are also a few suspicious transferrs seen from the X-ray.
At present, the academic community is relaxed for the instructions of lung cancer surgery, for some patients who violate the vaschers in the chest and the persistence of isolated from the distance, as long as the physical conditions permit, some scholars also believe that can be surgery, and related explorations. the study.
Second, the perturbation
Any surgery taboo, clearly diagnosed as lung cancer or high suspected of lung cancer can select the speculation according to the specific situation, if the lesion has been discovered by the lesion, the original carcinogenesis is still eliminated. In order to reduce the surgery, it does not make a total lung resection so that other treatment is adjusted after surgery.
Third, the choice of lung cancer
According to the II and III lung cancer cases in 1985, there is a surgical treatment. The principle of surgical resection is: thoroughly cut lymph nodes that may be transferred in primary stoves and chest, and to keep normal lung tissues as much as possible, all pulmonary resection should be careful.
1. Local resection: means that the wedge-shaped carcinoma resection and pulmonary resection can be considered for pulmonary local resection of weakness of weakness or low cancer differentiation of the body of the primary carcinogenesis.
2. Lung leaves: For isolated surrounding lung cancer, there is no obvious lymphadenopathy in a lungs. If the cancer swelling and two-leaf or intermediate bronchi can be vented or lower or lower leaves two leaf pulmonary
3. Sedied pulp leaves: This type is used in the right lung lung lung cancer, such as cancer swelling in the Ye Yarani, and the viable sleeve pulp is removed;
4. All lung resection: Where the lesion is widely used by the above method, it can be carefully considered to take care of the whole lung resection when reducing the lesion;
5. Bronoma and reconstruction: Zum tunoma exceeds the main bronchial tired or tracheal side wall but does not exceed 2 cm: 1 can be made of rhizophore, in addition to reconstruction or cuff-type full lungs; Strive to keep it. The surgery can be determined according to the situation at the time.
Fourth, the treatment of re-hair or recurrent lung cancer
1. Treatment of multi-protocker lung cancer: Operation can be removed from cancer, but there is also residual cancer, or region lymph node metastasis, or in vascular suppression, etc., the recurrence transfer chance is very high. Any diagnosis is treated with the second primary stove.
2. Treatment of recurrent lung cancer: The so-called recurrent lung cancer is a cancerous stove in the scar of the original surgical scar or recurrence with the primary stove, called recurrent lung cancer. The principle of treatment should determine the surgical range according to the patient's cardiopulmonary function and whether it can be removed.
No comments:
Post a Comment