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[Nontypical limited resection of the lung]
1Department of Thoracic Cardiovascular Surgery, Beijing Friendship Hospital, Capital University of Medical Sciences, Beijing 100050.
Objective:
To evaluate the role of limited resection in the treatment of lung disease.
Method:
From 1989 to 1996, 46 limited resections were performed on 35 patients with lung diseases. All patients were followed up for 0.5 to 7 years (mean 29.3 months).
Result:
There were no operative deaths and operative complications. In 16 patients with benign lung diseases, no recurrences and late complications were found. In 5 patients with primary lung cancers, 2 died 1.5 and 2 years after operation, respectively, and 3 are still living well for 2.5, 4 and 5 years postoperatively. In 14 patients with metastatic lung diseases (10 with bilateral multiple metastases), 216 metastatic lesions were excised. 1-, 3-, and 5-year survival rates were 78.5%, 50% and 21.4% respectively.
Conclusion:
Limited lung resection could be an additional option and a surgical alternative to conventional lung resection for some compromised patients.