Comparison the efficacy between bronchial sleeve resection and bronchial wedge resection in the treatment of lung cancers / 中国基层医药

ABSTRACT

Objective To compare the efficacy between bronchial sleeve resection and bronchial wedge resection in the treatment of lung cancers.Methods The clinic datas of bronchial sleeve resection in 38 cases and bronchial wedge resection in 24 cases were analyzed,comparing the incindence of the fistulas on the anastomotic sites,early death,carcinoma cells on the bronchial edges,cancer recurrence on the anastomotic sites and survival rates between two groups.Results In the group of the bronchial sleeve resection,2 cases underwent the fistulas on the anastomotic sites,3 cases suffered death in the early period,2 cases residued carcinoma cells on the bronchial edges,1 case had scar hyperplasia on the anastomotic sites,1 case had cancers recurrence on the anastomotic sites.1 year,3 years,5 years survival rates were respectively 87.5%(28/32),60%(15/25),40%(4/10).In the group of the bronchial wedge resection,no cases underwent the fistulas on the anastomotic sites,2 cases suffered death in the early period,5 cases residued carcinoma cell on the bronchial edges,4 cases found scar hyperplasia on the anastomotic sites,3 cases having cancer recurrence on the anastomotic sites.1 year,3 years,5 years survival rates were respectively 85.7%(18/21),53.3%(8/15),42.9%(3/7).Conclusion Compared with bronchial sleeve resection in the treatment of lung cancers,the bronchial wedge resection increases the incindence of carcinoma cell on the bronchial edges and cancer recurrence on the anastomotic sites,but there is no difference in survival rate between them.