Expert introduction: As for the current clinical treatment of malignant tumors, surgery plays an irreplaceable role, but it also needs to be determined according to the severity of the disease. Apart from this, for the same disease, different patients may have different surgical treatment methods. The following takes lung cancer as an example to introduce its surgical treatment methods: 1. Surgical method for patients with early and middle stage lung cancer: lobectomy plus hilar mediastinal lymph node dissection Lobectomy plus hilar mediastinal lymph node dissection is currently the most commonly used surgical method for lung cancer, accounting for about 70% of the total lung resection. It has the advantages of less loss of lung function, fewer postoperative complications, low surgical mortality, high long-term survival rate and good quality of life for patients. It is suitable for most patients with early and mid-stage lung cancer. If there are no complications, the patient can usually be discharged from the hospital seven or eight days after the operation. II. Surgical methods for patients with advanced and advanced lung cancer: unilateral pneumonectomy plus hilar and mediastinal lymph node dissection At present, middle and advanced stage lung cancer still accounts for a large proportion, and unilateral pneumonectomy plus hilar mediastinal lymph node dissection is a relatively common surgical method. If the indications are appropriate and the surgical operation is standardized, unilateral pneumonectomy is very safe, especially for some patients who have atelectasis or obstructive pneumonia. Lung function and breathing will be significantly improved after surgery. 3. Special surgical method for lung cancer patients: bronchoplasty lobectomy Bronchoplasty lobectomy is now widely used in the treatment of lung cancer. It can allow lung cancer patients who cannot undergo pneumonectomy and have damaged cardiopulmonary function, or elderly lung cancer patients with low lung function to undergo surgical treatment. In addition, pulmonary artery bronchial combined sleeve lobectomy is suitable for lung cancer patients whose tumors directly invade the pulmonary artery trunk or whose tumors are tightly adhered to the pulmonary artery trunk; video-assisted thoracoscopic partial lung resection can be used for early peripheral lung cancer, or more localized lesions that are far from the hilum of the lung and smaller in size. In short, different lung cancer patients have different surgical methods. In order to improve the cure rate of lung cancer, patients must choose the appropriate treatment method according to their condition. Generally speaking, surgical treatment of lung cancer is mainly for patients in the early and middle stages, while patients in the late stages are mainly treated with chemotherapy, which cannot be cured. For malignant tumors, prevention should be the main approach. At the same time, we should strengthen our own health care and have a certain understanding of the common sense of various malignant tumors so as to detect the disease in time and treat it in time. |
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