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Surgical Treatment for Lung Cancer in Octogenarians
- 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.
- Subjects :
- Male
medicine.medical_specialty
Lung Neoplasms
Surgical oncology
Carcinoma, Non-Small-Cell Lung
medicine
Carcinoma
Humans
Lung cancer
Survival rate
Lymph node
Retrospective Studies
Aged, 80 and over
Chi-Square Distribution
business.industry
Mortality rate
Retrospective cohort study
General Medicine
medicine.disease
Surgery
Survival Rate
Dissection
Treatment Outcome
medicine.anatomical_structure
Lymph Node Excision
Female
business
Subjects
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