Lobectomy by video-assisted thoracic surgery for lung cancer patients aged 80 years or more.
作者： Daisuke Okada , Mitsuhiro Fukushima , Tomomi Hirata , Shuji Haraguchi , Kyoji Hirai
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摘要: To clarify the usefulness of video-assisted lobectomy for lung cancer patient aged 80 years old or more, a retrospective study was conducted to evaluate clinical outcome. Between 1982 and 2001, 914 patients underwent surgery primary at Nippon Medical School Hospital. Among them, 32 lobectomy, including 17 with mean age 82 (range, 91 years) who 15 86 by standard thoracotomy. Of these patients, outcome evaluated retrospectively. Mortality 4 (12.5%) consisting 3 (20%) thoracotomy 1 (5.9%) lobectomy. Single variate analyses revealed that presence preoperative cardiopulmonary disease, 0.6 L more predicted postoperative forced expiratory volume in one second/m(2), 700 ml blood loss, five hours duration operation two complications were considered as risk factors regarding mortality within three months postoperation. mediastinal lymph node dissection, 5-year survival rate stage I (IA+IB) 55.6% 0% (IA=2, IB=2). Video-assisted is offer an acceptable However, further observation on prognosis necessary.
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