|Table of Contents|

Curative effect observation of thoracoscopic anatomic resections for elderly patients with stage Ib non-small cell lung cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2018 02
Page:
204-207
Research Field:
Publishing date:

Info

Title:
Curative effect observation of thoracoscopic anatomic resections for elderly patients with stage Ib non-small cell lung cancer
Author(s):
Fang ZiwenFang FangHe JianxingFang WanqiangRuan Lingling
Kaiping Central Hospital,Guangdong Kaiping 529300,China.
Keywords:
video-assisted thoracoscopic surgery(VATS)anatomic pulmonary segmentslobectomyNSCLC
PACS:
R734.2
DOI:
10.3969/j.issn.1672-4992.2018.02.012
Abstract:
Objective:To explore the anatomical under thoracoscope lung resection combing with the system lymph node resection in the treatment of elderly(≥65 years old) high-risk Ib period(pT status:>2 cm,≤3 cm) the long-term efficacy of non-small cell lung cancer patients.Methods:368 patients diagnosed with non-small cell lung cancer in Ib stage of the elderly or higher were randomly divided into high-risk group 182 patients and conventional-risk group 186 patients.All the patients were made by the same operation team to complete the operation.We are going to high-risk group of patients is defined as:With severe heart and lung function in patients with other system organ dysfunction,and formulate the relevant standards.The high-risk group of patients,we adopted the lung resection under thoracoscope anatomy and systemic lymph were performed.Conventional-risk group of patients,we defined as the cardiopulmonary function of patients with enough reserves,no merger other system organ dysfunction.To the conventional-risk group of patients,we adopted the traditional lymph were performed under the thoracoscope lobe resection and systemic treatment.Results:High-risk group:Accept the anatomy of the lung resection+systemic lymph node cleaning technique.The operation time and blood loss of high-risk group[(73.0±25.0) min,(58.0±25.0) ml] was lower than that in conventional-risk group[(102.0 ±17.0) min,(98.0±16.0) ml].High-risk group:Overall survival and disease-free survival in patients were 62.09% and 30.22%.The conventional-risk group:Overall survival and disease-free survival in patients were 62.90% and 32.80%.There was no statistically significant difference between the two groups(P>0.5).The recurrence rate of the two groups were 13.74% and 12.90%,there was no statistically significant difference(P>0.5).Conclusion:Anatomical under thoracoscope lung resection combined with systemic lymph node cleaning to treat elderly,high-risk,Ib period of patients with non-small cell lung cancer has less trauma,safe,long-term efficacy.

References:

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Memo

Memo:
广东省医学科学技术研究基金(编号:A2016169);广东省江门市科技局研究基金(2016年度江门市第九批科技计划项目)
Last Update: 2017-11-30