Surgical treatment and prognosis of octogenarians with non-small cell lung cancer

Asian Pacific Journal of Tropical Medicine
Jing ZhangLi-Guo Yin

Abstract

To explore the clinical characteristics, surgical treatment and prognosis of non-small cell lung cancer (NSCLC) among elderly patients over 80 years. The clinical data, surgical methods, perioperative management, postoperative complications and prognosis of 52 NSCLC patients aged over 80 years were retrospectively analyzed. Out of 52 cases, 27 had a long-term smoking history (51.9%) and 44 were with other diseases (84.6%). Lobectomy was done in 32 cases (65.4%), sub-lobectomy in 20 cases (38.5%), including pulmonary wedge resection in 16 cases (30.8%) and lung segment resection in 4 cases (7.7%). The postoperative complication rate was 44.2% (23/52); the complication rate after lobectomy was 62.5% (20/32) and that after sub-lobectomy was 25% (5/20), with significant difference between lobectomy and sub-lobectomy (P<0.05). Postoperative mortality was 3.8% (2/52). Pathological TNM staging: I a 27 cases (51.9%), I b 12 cases (23.1%), II a 8 cases (15.4%), II b 3 cases (5.8%) and III a 2 cases (3.8%). The 1-, 3- and 5-year survival rate after operation was 87.1%, 59.8%, 19.1%. The 1-, 3- and 5-year survival rate was 86.0%, 61.8%, 21.5% in the patients after lobectomy; that was 89.0%, 58.3%, 18.7% in the patients after sub-lobectomy...Continue Reading

References

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Dec 5, 2008·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Hiroaki SatohNobuyuki Hizawa

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Citations

Oct 10, 2012·Asian Pacific Journal of Tropical Medicine·Sheng ChenBiao Gu
Oct 8, 2013·Cirugía española·Elisabet Arango TomásAngel Salvatierra Velázquez

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