Video-assisted thoracoscopic surgery for non-small-cell lung cancer is beneficial to elderly patients.

作者: Yan Wang

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摘要: The aim of this study was to explore whether video-assisted thoracoscopic surgery (VATS) has short or long-term benefits in elderly patients with non-small-cell lung cancer compared open surgery. Between June 2007 and December 2014, 579 older than 70 years underwent radical pulmonary resection for cancer, including 138 who received VATS 441 A retrospective pair-matched performed compare 194 (97 pairs) either resection. Patients were matched by age, sex, comorbidity, American Society Anesthesiologists (ASA) score, tumor location, clinical TNM stage, extent Short outcomes between the two groups. overall incidence postoperative 30-day complications significantly lower group group. major complication trended but not different. length hospital stay shorter. Kaplan-Meier analysis showed that 5-year disease-free survival similar In summary, surgical management is associated rates morbidity as well comparable outcomes.

参考文章(25)
Sibu P. Saha, Matthew Bender, Victor A. Ferraris, Daniel L. Davenport, Surgical treatment of lung cancer in octogenarians. Southern Medical Journal. ,vol. 106, pp. 356- 361 ,(2013) , 10.1097/SMJ.0B013E318296D8E2
Zhengping Ding, Shun Lu, Qiang Tan, Hao Lin, Jia Huang, Qingquan Luo, Meta-analysis for curative effect of lobectomy and segmentectomy on non-small cell lung cancer. International Journal of Clinical and Experimental Medicine. ,vol. 7, pp. 2599- 2604 ,(2014)
Yaohong Lu, Dan Qiao, Hongtao Li, Hui Zhao, Zhiyu Wang, Xiaoting Wen, A retrospective study of risk and prognostic factors in relation to lower respiratory tract infection in elderly lung cancer patients. American Journal of Cancer Research. ,vol. 5, pp. 423- 432 ,(2015)
Pin Ru Chen, Hsu Chih Huang, Fei Yuan Hsiao, Shwn Huey Shieh, Chih Yi Chen, Hsin Yuan Fang, Yu Sen Lin, Chein Kuang Chen, Chun Ru Chien, Cost and effectiveness of video-assisted thoracoscopic surgery for clinical stage I non-small cell lung cancer: a population-based analysis Journal of Thoracic Disease. ,vol. 6, pp. 1690- 1696 ,(2014) , 10.3978/J.ISSN.2072-1439.2014.10.27
Yaxing Shen, Xuping Mao, Mingxiang Feng, Hao Wang, Yi Liu, Lijie Tan, Qun Wang, Uniportal video assisted thoracoscopic lobectomy: primary experience from an Eastern center Journal of Thoracic Disease. ,vol. 6, pp. 1751- 1756 ,(2014) , 10.3978/J.ISSN.2072-1439.2014.11.20
Corey Langer, Jared Weiss, Treatment of Lung Cancer in the Elderly Patient Seminars in Respiratory and Critical Care Medicine. ,vol. 34, pp. 802- 809 ,(2013) , 10.1055/S-0033-1358560
Martin Reck, David F Heigener, Tony Mok, Jean-Charles Soria, Klaus F Rabe, Management of non-small-cell lung cancer: recent developments. The Lancet. ,vol. 382, pp. 709- 719 ,(2013) , 10.1016/S0140-6736(13)61502-0
Beatriz Korc-Grodzicki, Robert J. Downey, Armin Shahrokni, T. Peter Kingham, Snehal G. Patel, Riccardo A. Audisio, Surgical Considerations in Older Adults With Cancer Journal of Clinical Oncology. ,vol. 32, pp. 2647- 2653 ,(2014) , 10.1200/JCO.2014.55.0962
Valerie W. Rusch, Hisao Asamura, Hirokazu Watanabe, Dorothy J. Giroux, Ramon Rami-Porta, Peter Goldstraw, The IASLC Lung Cancer Staging Project: A Proposal for a New International Lymph Node Map in the Forthcoming Seventh Edition of the TNM Classification for Lung Cancer Journal of Thoracic Oncology. ,vol. 4, pp. 568- 577 ,(2009) , 10.1097/JTO.0B013E3181A0D82E