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引用次数: 24

摘要

在确定的放化疗后局部孤立失败,如咯血(姑息目的)等紧急情况,以及由于严重的合并症而被判定为化疗或明确放疗禁忌的病例,尽管最初的临床诊断为III期或IV期疾病,但有时会考虑进行补救性原发性肿瘤切除术。然而,挽救性手术通常被认为在技术上更困难,潜在的发病率更高。这篇综述讨论了当前关于挽救性胸外科手术的主题,如挽救性手术的定义及其结果,以及未来的展望。
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Current Topics on Salvage Thoracic Surgery in Patients with Primary Lung Cancer.
Salvage primary tumor resection is sometimes considered for isolated local failures after definitive chemoradiation, urgent matters, such as hemoptysis (palliative intent), and in cases judged to be contraindicated for chemotherapy or definite radiation due to severe comorbidities, despite an initial clinical diagnosis of stage III or IV disease. However, salvage surgery is generally considered to be technically more difficult, with a potentially higher morbidity. This review discusses the current topics on salvage thoracic surgery such as the definition of salvage surgery and its outcome, and future perspectives.
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