关键词: 癌, 非小细胞肺, 胸椎, 肿瘤转移, 外科手术

Abstract: Objective To investigate the techniques and effects of primary and metastatic lesions by simultaneous surgical treatment of non-small cell lung cancer with thoracic oligo metastases.Methods Retrospective analysis was performed on 10 non-small cell lung cancer patients with thoracic oligo metastases who were treated in our hospital.Lobectomy and vetebrectomy by simultaneous operation was performed.Intraoperative and diagnostic data, including perioperative complications,operative time,chest tube length,intraoperative bleeding and survival time were collected using retrospective chart review.The surgical outcomes were assessed according to survival status,neurological function,local recurrence,and pain before and after surgery.Results Ten patients underwent vetebrectomy and lobectomy by one-stage operation of anterior transcavitary approach,the mean operative time was (348.00±27.48)min, intraoperative bleeding (1 500.00± 547.72)mL,chest tube length (9.00± 1.85)d,and median survival time 2 6 months.Neurologic improvement by at least one Frankel grade was noted in 6 of 10 cases (60.0%).The visual analogue score of the patients were significantly reduced after operation(P<0.05).Conclusion The patients of non-small cell lung cancer with thoracic oligo metastases who underwent simultaneous surgical treatment for the primary tumor and thoracic metastatic lesions still have chances to obtain long-term survival.

Key words: carcinoma, non-small-cell lung, thoracic vertebrae, neoplasms metastasis, surgical procedures