Clinical evaluation of surgical treatment in lung cancer patients aged 80 years or more

被引:0
|
作者
Nakayama, K [1 ]
Koizumi, K [1 ]
Hirata, T [1 ]
Hirai, K [1 ]
Mikami, I [1 ]
Fukushima, M [1 ]
Yamagishi, S [1 ]
Okada, D [1 ]
Enomoto, Y [1 ]
Kinoshita, H [1 ]
Miyamoto, T [1 ]
Okamoto, J [1 ]
Nakajima, Y [1 ]
Tanaka, S [1 ]
机构
[1] Nippon Med Coll, Dept Surg 2, Tokyo 113, Japan
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中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We investigated outcome of pulmonary resection for patients aged 80 years or more. Fifteen patients with a mean age of 82 underwent pulmonary resection by standard thoracotomy (ST) and 25 patients with a mean age of 82 by VATS. Mortality within 3 months postoperation was 4 of all (10%). The presence of preoperative diseases, 55% or less of predicted postoperative (ppo) %FEV1.0, 700ml or more of blood loss, 5 hours or more of operation duration and 2 or more of postoperative complications were considered to be risk factors. The max. serum CPK U/L/M-2 as a parameter of chest damage was minor in VATS comparing to that in ST (p=0.004). Five year survival rate at stage I was 50.8% in VATS and 0 % in ST (p=0.01). VATS might offer extend indication of surgical treatment for aged patients.
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页码:179 / 182
页数:4
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