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Surgical Treatment for Lung Cancer in Octogenarians

Authors :
Masashi Muraoka
Tadayuki Oka
Takatomo Yamayoshi
Satoshi Hashizume
Yutaka Tagawa
Tsutomu Tagawa
Takeshi Nagayasu
Shinji Akamine
Yasushi Ikuta
Masao Inoue
Nobufumi Sasaki
Source :
Surgery Today. 35:725-731
Publication Year :
2005
Publisher :
Springer Science and Business Media LLC, 2005.

Abstract

We conducted this study in order to determine how we should perform the surgical treatment for clinical stage I non-small cell lung cancer (NSCLC) in octogenarians. Thirty-three octogenarians with clinical stage I NSCLC participated in this study. They were retrospectively divided into two groups: one group of 11 patients who underwent a lymph node dissection (ND group), and one group of 22 patients who did not undergo this procedure (ND0 group). We analyzed the surgical invasiveness, morbidity, mortality, and survival in both groups. The morbidity rate in the ND group (45%) was higher than that in the ND0 group (23%); however, the difference was no statistically significant (P = 0.1805). There was no significant difference in the overall survival rates of the two groups (P = 0.1647), and the median survival time of the ND0 group (76 months) was slightly longer than that of the ND group (26 months). There was no significant difference in local recurrence rate between the two groups (9.1% vs 4.5%, P = 0.6059). We thus conclude that a limited operation without lymph node dissection might be the best surgical treatment for carefully selected octogenarians with clinical stage I NSCLC.

Details

ISSN :
14362813 and 09411291
Volume :
35
Database :
OpenAIRE
Journal :
Surgery Today
Accession number :
edsair.doi.dedup.....c8a769cd469fdcd6e0f91318a47d2b1a
Full Text :
https://doi.org/10.1007/s00595-005-3031-6