摘要
恶性肿瘤是全球主要的公共健康问题,肺癌是全球肿瘤致死的主要因素。随着人们健康意识的逐步提升,越来越多的人选择胸部计算机体层摄影(CT)进行健康体检,因此越来越多的肺内病变得以被发现。其中有些患者为双侧肺内病变,可能是良性结节、同期多原发肿瘤或肺内转移等,病变的性质不同,其处理方式及预后也各不相同。胸腔镜手术作为诊断和治疗的重要方式,近些年越来越受到人们的重视。目前,同期双侧肺手术开展较少,但是对部分双侧肺内病变患者进行筛选和术前评估后,施行同期双侧肺手术是理想的选择。本文就同期双侧肺手术治疗双侧肺内病变的研究进展作一综述。
引文
[1]屈若祎,周宝森. 2004-2010年中国肺癌死亡分布及趋势分析[J].中国卫生统计, 2014, 31(6):932-935.
[2] Wood DE, Kazerooni EA, Baum SL, et al. Lung Cancer Screening, Version 3.2018, NCCN Clinical Practice Guidelines in Oncology[J]. J Natl Compr Canc Netw, 2018, 16(4):412-441.
[3] Callister ME, Baldwin DR. How should pulmonary nodules be optimally investigated and managed?[J]. Lung Cancer,2016, 91:48-55.
[4]王国巍. 63例肺内结节影像分析[J].吉林医学, 2013, 34(26):5433-5434.
[5] Horeweg N, van Rosmalen J, Heuvelmans MA, et al. Lung cancer probability in patients with CT-detected pulmonary nodules:a prespecified analysis of data from the NELSON trial of low-dose CT screening[J]. Lancet Oncol, 2014, 15(12):1332-1341.
[6] Oudkerk M, Devaraj A, Vliegenthart R, et al. European position statement on lung cancer screening[J]. Lancet Oncol,2017, 18(12):e754-e766.
[7] Park CM, Goo JM, Lee HJ, et al. Nodular ground-glass opacity at thin-section CT:histologic correlation and evaluation of change at follow-up[J]. Radiographics, 2007, 27(2):391-408.
[8] Jiang L, He J, Shi X, et al. Prognosis of synchronous and metachronous multiple primary lung cancers:systematic review and meta-analysis[J]. Lung Cancer, 2015, 87(3):303-310.
[9] Yao F, Yang H, Zhao H, et al. Single-stage bilateral pulmonary resections by video-assisted thoracic surgery for multiple small nodules[J]. J Thorac Dis, 2016, 8(3):469-475.
[10] Tanner NT, Aggarwal J, Gould MK, et al. Management of pulmonary nodules by community pulmonologists:a multicenter observational study[J]. Chest, 2015, 148(6):1405-1414.
[11] Mun M, Kohno T. Single-stage surgical treatment of synchronous bilateral multiple lung cancers[J]. Ann Thorac Surg, 2007, 83(3):1146-1151.
[12] Iida T, Kohno T, Fujimori S, et al. Single-stage video-assisted thoracoscopic surgery:right upper lobectomy and left lower lobectomy for synchronous bilateral lung cancers[J]. Int J Surg Case Rep, 2017, 33:55-57.
[13] Benattia A, Debeaumont D, Guyader V, et al. Physiologic assessment before video thoracoscopic resection for lung cancer in patients with abnormal pulmonary function[J]. J Thorac Dis, 2016, 8(6):1170-1178.
[14] Almquist D, Khanal N, Smith L, et al. Preoperative pulmonary function tests(PFTs)and outcomes from resected early stage non-small cell lung cancer(NSCLC)[J]. Anticancer Res, 2018, 38(5):2903-2907.
[15] Woo JH, Kim YJ, Kim KC, et al. The effect of interscalene block on ipsilateral shoulder pain and pulmonary function in patients undergoing lung lobectomy[J]. Medicine, 2018, 97(24):e11034.
[16] Welter S, Cheufou D, Zahin M, et al. Short-and mid-term changes in lung function after bilateral pulmonary metastasectomy[J]. Thorac Cardiovasc Surg, 2016, 64(2):139-145.
[17]周玉萍,李明星.同期双侧肺部手术的麻醉处理[J].上海医学, 2011, 34(4):275-277.
[18] Yang H, Sun Y, Yao F, et al. Surgical therapy for bilateral multiple primary lung cancer[J]. Ann Thorac Surg, 2016,101(3):1145-1152.
[19] Zhang M, Wang T, Zhang YW, et al. Single-stage nonintubated uniportal thoracoscopic resection of synchronous bilateral pulmonary nodules after coil labeling:a case report and literature review[J]. Medicine(Baltimore), 2017, 96(12):e6453.
[20] Rocco G, Romano V, Accardo R, et al. Awake single-access(uniportal)video-assisted thoracoscopic surgery for peripheral pulmonary nodules in a complete ambulatory setting[J]. Ann Thorac Surg, 2010, 89(5):1625-1627.
[21] Sato M, Kuwata T, Kitamura A, et al. The role of virtualassisted lung mapping in the resection of ground glass nodules[J]. J Thorac Dis, 2018, 10(5):2638-2647.
[22]薛庆明,魏东山,刘海君,电视胸腔镜在双侧肺同期手术中的临床应用[J].浙江临床医学, 2017, 19(4):726-727.
[23] Yang X, Wang L. Subxiphoid uniportal video-assisted thoracoscopic surgery for synchronous bilateral lung resection[J]. Postgrad Med, 2018, 130(1):142-145.
[24] Shao G, Ren W, Feng Z, et al. The role of video-assisted thoracoscopic surgery in management of the multiple ground-glass nodules[J]. Indian J Cancer, 2015, 52 Suppl2:e75-e79.
[25] Mizuno Y, Iwata H, Shirahashi K, et al. One-stage bilateral pulmonary resections for pulmonary metastases[J]. Gen Thorac Cardiovasc Surg, 2014, 62(1):53-57.
[26] Koh E, Iizasa T, Yamaji H, et al. Significance of the correlation between the expression of interleukin 6 and clinical features in patients with non-small cell lung cancer[J]. Int J Surg Pathol, 2012, 20(3):233-239.
[27] Ananth AA, Tai LH, Lansdell C, et al. Surgical stress abrogates pre-existing protective T cell mediated anti-tumor immunity leading to postoperative cancer recurrence[J].PLoS One, 2016, 11(5):e0155947.
[28] Cheng H, Lei BF, Peng PJ, et al. Histologic lung cancer subtype differentiates synchronous multiple primary lung adenocarcinomas from intrapulmonary metastases[J]. J Surg Res, 2017, 211:215-222.
[29] Tanvetyanon T, Finley DJ, Fabian T, et al. Prognostic factors for survival after complete resections of synchronous lung cancers in multiple lobes:pooled analysis based on individual patient data[J]. Ann Oncol, 2013, 24(4):889-894.