Treat the first-selected surgery of lung cancer Can temper the lung function to climb the stair before the skill

Treat the first-selected surgery of lung cancer Can temper the lung function to climb the stair before the skill
Medical advice Guangzhou subsidiary associate professor of treatment of thoracic surgery of tumour hospital of medical college Zhou Ming
Liang Bo in the riverhead is 63 years old this year, is diagnosed lung cancer in the locality recently. The doctor sees Liang Bo's CT checking the report and regretting to say shaking the head: "Have already shifted, can't perform the operation "Liang Bo who has ever studied medicine knows, if can excise through the operation, the survival rate of the lung cancer patient will be improved greatly. For this reason, the large hospital where he decides to get to Guangzhou " fights " .
A few days ago, in subsidiary thoracic surgery of tumour hospital of the medical college of Guangzhou, the experts analyzed and discussed on Liang Bo's case. Finally, the experts think, though Liang Bo's lung cancer already reached A stage (compare later period) ,Shift the lymph node, but tumour has not taken place in the distant place to shift yet, the focus is confined to somely, so, if make the tumour focus dwindle through other complex treatment first, can strive for surgery and excise.
The expert points out, though there are more and more means to nowadays treat lung cancer, only by performing the operation and excising can it bring the chance that a patient effects a radical cure. So, it is not cellule lung cancer for accounting for 80% of lung cancer, the doctor needs to carry on the detailed general physical checkup to the patient, in order to confirm that there is shifting and range that the part soaks in distant place, if is possible, should usually choose surgery first to excise and treat. And and amalgamate isolating in some some later period advanced stage lung cancer with focal transformation have operation chances too.
Surgery: Generally acknowledged first-selected method of lung cancer treatment
According to the introduction of subsidiary associate professor of treatment of tumour hospital thoracic surgery Zhou Ming of medical college in Guangzhou, treatment of lung cancer include the intersection of surgery and treatment, radiotherapy, chemical drug therapy, target to treatment, immunization therapy, the intersection of Traditional Chinese medicine and treatment,etc. mainly at present. Which kind of treatment means to choose, amalgamate disease etc. to consider synthetically by stages, according to the patient's whole body situation, clinical pathology. Surgery generally acknowledged first-selected method to treat lung cancer, for the intersection of cellule and lung cancer, should treat by surgery or strive for the surgery treatment to take as the leading factor besides some IIIB stages and IV stage patients. (Medical circle from treat angle lung cancer from divide into, pin by 9 later period in being early while being clinical: Namely hide one, 0 issues, A stage, B stage, 2 A stage, 2 B stage, A stage, B stage, one. )"This is because up till now, it may only make the lung cancer patient cured that the effecting a radical cure excision has remained, thus resume treatment means of normal life. " Zhou Ming says, some patients of B stage, for instance tumour has already infringed the heart, trunk, esophagus, can also do while excising lung cancer and is given much trouble the organ and excise, rebuild.
The lung cancer operation can be divided into traditional route operation and created the operation a little. Cut-out outside behind the surgical route including standard chest of lung cancer, keep some chest chest of muscle little to cut-out and that create a little thorax mirror assist the lung cancer operation. These skill types each have pros and cons, suitable different patients. The intersection of lung cancer and radical operation under the the intersection of thorax and mirror directed primarily to early the intersection of lung cancer and case or the intersection of heart and lungs and function, can't tolerate, turn on the intersection of chest and advanced age patient of operation conventionally while being bad. "What kind of operation ways is taken specifically, need clinical surgeon according to patient's size of tumour volume, whether the position of tumour, lymph node has obvious transformation and thorax and has factors such as obvious adhesions,etc. that judge the choice synthetically. " Zhou Ming says.
It is not that only in early days the patient has the opportunity to perform the operation
In the understanding of a lot of ordinary patients even doctors at the basic level, early lung cancer patient has a chance to undergo an operation. But in fact, because early lung cancer is hidden, the lung cancer patient who can perform the operation directly while making a definite diagnosis of at present is only less than 20%. Then, do other over 80% of the patients lose the operation chance?
Zhou Ming has denied this. He point out tumour relatively large, infringe neighbouring other histoorgans or regional lymph nodes appear, shift already, but without patient whose organ shifted at a distance, define clinically as some later period lung cancer. This kind of patient can nowadays make the tumour focus dwindle through other complex treatment first, then strive for the operation to excise. There are some patients of IV stage, even if the cancer cell has already been shifted, but if shift the cooking stove as single shot, still have an opportunity to perform the operation and excise. For example lung cancer is accompanied and shifted in the cranium, can also or shift the excision skills of the focus and lobe of the lung by stages in the same period.
" lung cancer have an operation, will cause the cancer cell to shift and spread " to some patients Worry,emphasize Zhou Ming to a specialist emphasize whether there aren't monoblock in the lobe of the lung of tumour not merely lung cancer operation, it is a very important step in the lung cancer operation too that clean the systematic lymph node. "Because it is complete that clean the lymph node, not merely influence the curative effect of the operation directly, it concerns postoperative to be accurate by stages still, thus influence the making correctly of postoperative auxiliary healing solution. "
"In a word, different patients should be chosen individual's healing solution, will perform the operation treatment and other comprehensive treatment means will be combined organically, most lung cancer patients can lengthen life cycle, among them a great part can be cured. " Zhou Ming says. And it is reported, it is not the postoperative total survival rate of 5 years of lung cancer of the cellule at present 30.1%- 42% , Among them one 60%- 80 %, 2One is 40%- 60%, one is 15%- 30%. But the mortality of the operation is only 0.8% - 3.1%.
Postoperative chemotherapy can't " Absent from school "
Some lung cancer patients undergoing an operation, often thought a knife went down oneself can be with tumour " over " from now on ,So when the doctor advised them to continue accepting chemotherapy, often very unwilling. "It is said the side effect of chemotherapy is very big, has it been excised that I have not performed the operation? How to also want chemotherapy? "
In fact, reporter know, many to check, confirm, take place lung cancer patient that distant place shifted yet in detail in interview, or one or two years later, but happened in the distant place and shifted several months after the operation is excised. Since the lung cancer focus has already been excised, where to come shift?

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