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肺切除术已经过时了吗? 我们在当前临床环境中的经验
Manisha Aggarwal1, Naveen Kumar Kushwaha2, Laleng Mawia Darlong2
1Department of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, 110085 India.
肺切除术仍然对印度的肺癌和炎症状况至关重要,尽管病例数量正在下降. 仔细的患者选择和术后护理带来了可接受的结果,在医院内死亡率为10.5%.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 肺部医学 肺部医学
背景情况:
- 由于肺节省技术和多式疗法,肺切除术的作用已经减少.
- 与肺切除术相关的高发病率和死亡率需要仔细选择患者.
- 这项研究评估了肺切除术在印度第三级癌症中心的当前相关性.
研究的目的:
- 评估目前肺切除术的临床相关性.
- 分析患者的人口统计,临床病理特征和肺切除术的结果.
- 评估肺切除术后的术后并发症和生存率.
主要方法:
- 从2015年1月到2024年3月的肺切除术病例的回顾性分析.
- 包括所有在印度的三级癌症中心接受肺切除术的患者.
- 对人口统计,临床病理学数据,术后结果和生存率的分析.
主要成果:
- 在412例主要肺切除术中,有19例 (4.6%) 是肺切除术.
- 肺癌 (78.9%) 是主要的适应症,其次是癌症性瘤和炎症性疾病.
- 术后并发症发生在26.3%的患者中,住院死亡率为10.5%.
结论:
- 肺切除术对于特定病例至关重要,特别是在印度背景下,当地的晚期肺癌和炎症性肺损伤普遍存在.
- 肺节约手术和替代治疗的进步降低了肺切除术的发生率.
- 细致的术后管理可以为肺切除术患者实现可接受的结果.
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