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文章包括两大部分。首先通过近十年文献复习，报告了国内肺癌外科治疗概况。第二部分总结了中国医学科学院肿瘤医院胸外科2004例肺癌的外科治疗结果。国内较大组综合资料表明，切除率为80．4％～91．4％，并发症发生率为1．7％～22．3％，手术死亡率为0．8％～3．1％，切除后5年生存率为30．1％～42．0％。病理类型分布如下：鳞癌47．5％，腺癌32．6％，小细胞癌10.3％，大细胞癌3．3％，其它5．8％。P-TNM分期情况：Ⅰ期34．8％，Ⅱ期21.3％，Ⅲ期46．3％，Ⅳ期0.4％。手术类别包括：肺叶（合双叶）切除70．3％，全肺切除20．0％，部分切除（楔形或段）5．1％，袖式肺叶切除4．0％，隆突成形切除0．6％。小于40岁肺癌病人的临床特点：误诊率高达76．6％，切除率低，平均76．3％，5年生存率仅23．0％。年青病例的病理类型以腺癌最多达39．3％，小细胞肺癌其次28．4％，鳞癌仅24．0％。老年人（大于60岁）肺癌的外科临床特点：较高的并发症发生率27．3％以及手术死亡率2．4％，5年生存率31．3％，则与全年龄组无差别，为改进疗效，强调并存疾病的治疗及围手术期的护理。肿瘤医院胸外科33年收治2004例肺癌，男1571例，女433例，平均年龄53．9岁（20～80岁）。病理类型：基本符合国内综合资料。P—TNM分期?
The article includes two major parts. First of all, through the review of the literature in the past decade, a summary of the surgical treatment of lung cancer in China was reported. The second part summarizes the results of surgical treatment of lung cancer in 2004 in Department of Thoracic Surgery, Cancer Hospital, Chinese Academy of Medical Sciences. The comprehensive data from the larger domestic group showed that the resection rate was 80.4% to 91.4%, the complication rate was 1.7% to 22.3%, and the surgical mortality rate was 0.8% to 3.1%. The 5-year survival rate after resection was 30.1% to 42.0%. The pathological types were as follows: squamous cell carcinoma 47.5%, adenocarcinoma 32.6%, small cell carcinoma 10.3%, large cell carcinoma 3.3%, and other 5.8%. P-TNM staging: 34.8% for phase I, 21.3% for phase II, 46.3% for phase III, and 0.4% for phase IV. Surgical categories included: lobar resection (73.3%), pneumonectomy (20.0%), partial resection (wedge or segment) 5.1%, sleeve lobectomy 4.0%, and carina resection .6%. The clinical features of patients with lung cancer less than 40 years old: the rate of misdiagnosis is as high as 76.6%, the resection rate is low, with an average of 76.3%, and the 5-year survival rate is only 23.0%. The pathological type of young patients was up to 39.3% with adenocarcinoma, 28.4% with small cell lung cancer, and 24.0% with squamous cell carcinoma. The surgical and clinical features of lung cancer in the elderly (greater than 60 years): higher complication rate 27.3% and operative mortality 2.4%, 5-year survival rate 31.3%, no difference with the whole age group, In order to improve the curative effect, the coexistence of disease treatment and perioperative care are emphasized. The Department of Thoracic Surgery of Cancer Hospital received 33 cases of lung cancer in 2004, including 1,571 males and 433 females, with an average age of 53.9 years (20-80 years). Pathological type: basically in line with domestic comprehensive data. P-TNM staging?