多重肺转移切除术的长期结果
Michele Ferrari1, Camilla Valsecchi1, Giovanni Leuzzi1
1Division of Thoracic Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Annals of surgical oncology
|February 11, 2026
概括
重复的肺转移切除术为某些患有肺转移的癌症患者提供了治疗潜力. 这项研究显示了多次和重复的手术切除的可行的长期结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 癌症转移的转移.
背景情况:
- 肺转移发生在多达30%的癌症患者中,发病率因原发性瘤类型而异.
- 治疗方面的进步扩大了肺转移切除术的范围.
- 这项研究研究了重复的肺转移切除术的长期结果和预后因素.
研究的目的:
- 为了研究肺转移切除术的长期结果.
- 为了确定重复的肺转移切除术的预后因素.
- 评估多次和重复手术的可行性和治愈潜力.
主要方法:
- 在1106名患者中分析了1503例肺转移切除 (2003-2018).
- 分层成单一转移 (SM),多重转移 (MM) 和反复转移 (RM) 的队列.
- 专注于手术切除类型和预后因素.
主要成果:
- 10年生存率:总体35.5% (41.1%SM,30.8%MM,31.1%RM) 超过10年的时间.
- 平均存活时间从3.8到5.9年不等.
- 术后30天死亡率为0.1%;精确切除是最常见的 (53.2%).
结论:
- 对精心挑选的患者来说,多次和重复的肺转移切除术是可行的.
- 这些程序表明在管理肺转移方面具有治愈潜力.
- 长期生存数据支持积极的手术管理的作用.
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