Evaluation and Treatment of High-Risk Patients with Early-Stage Lung Cancer

被引：11
|
作者：
Mehta, Hiren J. [1 ]
Ross, Christopher [2 ]
Silvestri, Gerard A. [1 ]
Decker, Roy H. [2 ]
机构：
[1] Med Univ S Carolina, Div Pulm & Crit Care Med, Charleston, SC 29425 USA
[2] Yale Univ, Sch Med, Dept Therapeut Radiol, New Haven, CT 06520 USA
来源：
CLINICS IN CHEST MEDICINE | 2011年 / 32卷 / 04期
关键词：
Lung cancer; Elderly; Wedge resection; Segmentectomy; Preoperative assessment; Stereotactic body radiotherapy; BODY RADIATION-THERAPY; PERCUTANEOUS RADIOFREQUENCY ABLATION; HYPOFRACTIONATED STEREOTACTIC RADIOTHERAPY; POSTOPERATIVE PULMONARY-FUNCTION; CAPACITY PREDICTS MORBIDITY; 30-DAY OPERATIVE MORTALITY; THORACIC-SURGERY LOBECTOMY; VOLUME-REDUCTION SURGERY; PHASE-II TRIAL; ELDERLY-PATIENTS;
D O I：
10.1016/j.ccm.2011.08.011
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Standard therapy for early-stage non-small cell lung cancer is lobectomy for patients who are able to tolerate such surgery. However, the risk of postoperative morbidity is not trivial, with a 30% to 40% incidence of postoperative complications and a 1% to 5% incidence of operative mortality. Some patients, though technically resectable, refuse surgery or are considered medically inoperable because of insufficient respiratory reserve, cardiovascular disease, or general frailty. This group is considered either "high risk" or "medically inoperable."
引用
收藏
页码：783 / +
页数：16
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