Surgical procedure and prognosis analysis for elderly stage Ⅰ NSCLC patients above 70 years old
10.3760/cma.j.issn.1001-4497.2011.010.008
- VernacularTitle:70岁以上老年早期肺癌的手术方式及预后
- Author:
Yi ZHANG
;
Yuanbo LI
;
Shuyang YAO
;
Xiuyi ZHI
;
Zongjun DONG
- Publication Type:Journal Article
- Keywords:
Carcinoma non-small-cell lung;
Thoracic surgical procedures;
Survival rate
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2011;27(10):601-603,610
- CountryChina
- Language:Chinese
-
Abstract:
Objective The purpose of this study is to evaluate Surgical Procedure and Prognosis for elderly stage 1NSCLC patients above 70 years old.Methods The patients who were stage Ⅰ non-small cell lung cancer from 2003 to 2007were enrolled ( n =71 ).The median age was 74 years ( ranged from 70 to 84 years).The median follow-up of patients was 30months( ranged from 2 to 81 months).Results The percentages of postoperative complications after sublobar resection and lobectomy patients were 36.4％ and 46.9％,respectively.The period in hospital were 11.36 days and 12.24 days.The 3 year survival was 85.9％ for patients undergoing sublobar resection and 78.8％ for lobectomy.The 5 year survival was 56.4％ and 56.9％ respectively.No significant difference was observed between two types of surgical procedure in the elderly.Staging is the independent factor of prognosis.Conclusion Lobectomy is still the main therapy method for elderly stage Ⅰ NSCLC patients.Especially,for those who can undergo radical resection.But sublobar resection also appears to be a viable surgical treatment for patients with cardiopulmonary physiologic impairment.
