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題 名 | Minimally Invasive Surgery for Coronary Artery Disease with Associated Lung Cancer=冠狀動脈狹窄合併肺癌之微創手術治療 |
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作 者 | 呂宏益; 吳怡成; 謝明儒; 劉會平; 林萍章; | 書刊名 | 長庚醫學 |
卷 期 | 25:2 2002.02[民91.02] |
頁 次 | 頁110-114 |
分類號 | 416.262 |
關鍵詞 | 微創手術; 冠狀動脈狹窄; 肺癌; Minimally invasive surgery; Coronary artery disease; Lung cancer; |
語 文 | 英文(English) |
中文摘要 | 傳統上針對冠狀動脈狹窄病患同時合併肺癌的的治療方式,大部分採取分階段手術,先施行經正中胸骨切開之冠狀動脈繞道手術,一段時間後再側臥開胸作肺部腫瘤的切除。然而此種治療方式除了延遲肺癌切除的時機外,分成兩次手術亦增加術後的併發症及醫療成本。因此開始有人嘗試同時合併施行開心及開胸手術,並且成功地克服體外循環對合併手術的影響。由過去在微創開心及開胸手術的經驗,我們進一步利用單一微創切口同時完成冠狀動脈繞道手術及肺癌切除手術。本文報告一例65歲男性冠狀動脈狹窄病患同時發現左上肺鱗狀細胞癌,成功地經由左側胸骨旁微創切口,順利施行冠狀動脈繞道手術及左上肺葉切除手術,術後追蹤六個月沒有復發及臨床症狀。由此經驗我們想要強調,經由微創切口,施行冠狀動脈繞道手術合併肺癌切除應是一種可行且安全的治療方式。 |
英文摘要 | Simultaneous surgical management of patients with co-existing ischemic heart disease and lung carcinoma remains controversial. Traditionally, these operations have been staged, with coronary artery revascularization first, followed by pulmonary resection at a later date. Under this procedure, tumor resection is delayed, and these staged procedures may increase morbidity and cost. Our experience with minimally invasive surgery in the cardiac and thoratic fields suggests that both disease can be resolved within the same operation. This report presents a 65-year-old man with coronary artery disease (CAD), and left lung cancer. He received concomitant coronary artery bypass grafting for CAD and pulmonary resection for lung cancer via a left parasternal minithoractomy. No complaints or clinical signs were observed during a 6 month follow-up. Therefore, major cardiac and thoracic procedures that are performed via a minimally invasive approach using conventional instruments, can result in a safer, quicker, and more economical procedure. The results of the a minimally invasive approach demonstrated the technical feasibility of treating a triple vessel cardiac disease with lung cancer. |
本系統中英文摘要資訊取自各篇刊載內容。