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目的 总结近９ ａ 实施的肺癌手术２０３ 例，其中属于Ⅲｂ 或Ⅳ期的晚期肺癌７３ 例，旨在讨论晚期肺癌的手术指征、手术操作要点。方法 行全肺切除１８ 例（左肺１５例、右肺３例），肺叶切除５４例，肺癌切除后复发余肺切除１ 例；经心包内处理肺血管１７ 例，合并心房部分切除２例；支气管成形术１３ 例，气管隆凸成形术１例。结果 除１ 例因急性呼吸功能衰竭导致死亡外，其余均临床治愈。术后生存率１ ａ内为９５％ ，１ ａ以上不足２ ａ为８０％ ，２ ａ ５０％ ，３ ａ ２０％ 。结论 积极慎重地扩大手术指征能提高肺癌的总生存率，并改善其生存质量。
Objective To summarize the 203 cases of lung cancer surgery performed in the recent 9 years, including 73 cases of stage IIIb or IV advanced lung cancer, aiming to discuss the surgical indications and surgical operation points of advanced lung cancer. Methods 18 cases underwent pneumonectomy (15 cases of left lung and 3 cases of right lung), 54 cases of lobectomy, 1 case of recurrent lung resection after resection of lung cancer, 17 cases of pericardial pulmonary vasculature, and 2 cases of atrial partial resection. There were 13 cases of bronchoplasty and 1 case of tracheal carina. Results Except 1 patient died due to acute respiratory failure, the rest were clinically cured. The postoperative survival rate was 95% within 1 a, 1 a and less than 2 a was 80%, 2 a 50%, and 3 a 20%. Conclusion Actively and cautiously expanding surgical indications can increase the overall survival rate of lung cancer and improve its quality of life.