Short-and long -term outcomes of pneumonectomy for non -small cell lung cancer

VernacularTitle:全肺切除术治疗非小细胞肺癌的疗效观察
Author: Zhiping WEI ; Haitao HUANG ; Jun YAO ; Zhe HU
Keywords: Pneumonectomy; Carcinoma,non -small -cell lung; Survival rate
From: Chinese Journal of Primary Medicine and Pharmacy 2017;24(1):5-7,8
CountryChina
Language:Chinese
Abstract: Objective To assess the mortality,complications and major morbidity of pneumonectomy for non -small cell lung cancer(NSCLC)and to establish the importance of various prognostic factors.Methods The data of 64 consecutive patients who underwent pneumonectomy for NSCLC were retrospectively reviewed.Results The 30 -day mortality rate was 7.8%(5 /64).Complications developed in 29.7%(1 9 /64)and overall 5 -year survival was 1 9.0%.Pathological stage Ⅲ(P =0.030)and right pneumonectomy(P =0.01 0)were independent risk factors of an adverse outcome.Survival was not significantly influenced by histological types (P =0.1 25)or curability (P =0.587).Conclusion Pneumonectomy is associated with acceptable overall morbidity and mortality.However,the patients with pathological stage Ⅲ or right pneumonectomy require special consideration.Pneumonectomy should be performed only in selected patients.