Long-Term Outcomes of Chest Wall Resection in Non- Small Cell Lung Cancer in Geriatric Patients
Aim:Lung cancer has become a global health problem today. Both patients and physicians prefer oncologic treatment approaches rather than surgery in T3 and T4 lung cancers in the geriatric age group. The objective of this study was to assess the long-term survival outcomes of patients aged 70 years a...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2018-12-01
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| Series: | Haseki Tıp Bülteni |
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http://www.hasekidergisi.com/archives/archive-detail/article-preview/long-term-outcomes-of-chest-wall-resection-in-non-/21240
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| _version_ | 1797907419596062720 |
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| author | Celal Buğra Sezen Süleyman Anıl Akboğa Abdullah İrfan Tastepe Sedat Demircan |
| author_facet | Celal Buğra Sezen Süleyman Anıl Akboğa Abdullah İrfan Tastepe Sedat Demircan |
| author_sort | Celal Buğra Sezen |
| collection | DOAJ |
| description | Aim:Lung cancer has become a global health problem today. Both patients and physicians prefer oncologic treatment approaches rather than surgery in T3 and T4 lung cancers in the geriatric age group. The objective of this study was to assess the long-term survival outcomes of patients aged 70 years and older, who underwent chest wall resection due to non-small cell lung cancer, and the prognostic factors affecting morbidity.Methods:Eighteen patients, who underwent chest wall resection due to non-small cell lung cancer, were assessed retrospectively.Results:A total of 18 patients (16 male and 2 female) with a mean age of 74.28±3.81 years were included in the study. The most common surgery was right upper lobectomy (55.6%, n=10). Complications were detected in nine patients (50%). The most common complication was arrhythmia. Mortality was detected in four patients (22%). The mean two-year and five-year survival rates were 77.9% and 41.4%, respectively. Lymph node status, adjuvant treatment and tumor stage were prognostic factors affecting survival (p=0.001).Conclusion:Age should not be the only criterion for surgery. Appropriately selected patients should be offered anatomical resection. Long-term survival can be achieved in these patients. |
| first_indexed | 2024-04-10T10:36:24Z |
| format | Article |
| id | doaj.art-36d15de844974c5d90c53ecf84ecad57 |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T10:36:24Z |
| publishDate | 2018-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-36d15de844974c5d90c53ecf84ecad572023-02-15T16:20:48ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882018-12-0156428629110.4274/haseki.392913049054Long-Term Outcomes of Chest Wall Resection in Non- Small Cell Lung Cancer in Geriatric PatientsCelal Buğra Sezen0Süleyman Anıl Akboğa1Abdullah İrfan Tastepe2Sedat Demircan3 İstanbul Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Clinic of Thoracic Surgery, İstanbul, Turkey Bingöl State Hospital, Clinic of Thoracic Surgery, Bingöl, Turkey Gazi University Faculty of Medicine, Department of Thoracic Surgery, Ankara, Turkey Gazi University Faculty of Medicine, Department of Thoracic Surgery, Ankara, Turkey Aim:Lung cancer has become a global health problem today. Both patients and physicians prefer oncologic treatment approaches rather than surgery in T3 and T4 lung cancers in the geriatric age group. The objective of this study was to assess the long-term survival outcomes of patients aged 70 years and older, who underwent chest wall resection due to non-small cell lung cancer, and the prognostic factors affecting morbidity.Methods:Eighteen patients, who underwent chest wall resection due to non-small cell lung cancer, were assessed retrospectively.Results:A total of 18 patients (16 male and 2 female) with a mean age of 74.28±3.81 years were included in the study. The most common surgery was right upper lobectomy (55.6%, n=10). Complications were detected in nine patients (50%). The most common complication was arrhythmia. Mortality was detected in four patients (22%). The mean two-year and five-year survival rates were 77.9% and 41.4%, respectively. Lymph node status, adjuvant treatment and tumor stage were prognostic factors affecting survival (p=0.001).Conclusion:Age should not be the only criterion for surgery. Appropriately selected patients should be offered anatomical resection. Long-term survival can be achieved in these patients. http://www.hasekidergisi.com/archives/archive-detail/article-preview/long-term-outcomes-of-chest-wall-resection-in-non-/21240 Thoracic wall resectiongeriatric thoracic surgerynonsmall cell lung canceradvanced stage tumors |
| spellingShingle | Celal Buğra Sezen Süleyman Anıl Akboğa Abdullah İrfan Tastepe Sedat Demircan Long-Term Outcomes of Chest Wall Resection in Non- Small Cell Lung Cancer in Geriatric Patients Haseki Tıp Bülteni Thoracic wall resection geriatric thoracic surgery nonsmall cell lung cancer advanced stage tumors |
| title | Long-Term Outcomes of Chest Wall Resection in Non- Small Cell Lung Cancer in Geriatric Patients |
| title_full | Long-Term Outcomes of Chest Wall Resection in Non- Small Cell Lung Cancer in Geriatric Patients |
| title_fullStr | Long-Term Outcomes of Chest Wall Resection in Non- Small Cell Lung Cancer in Geriatric Patients |
| title_full_unstemmed | Long-Term Outcomes of Chest Wall Resection in Non- Small Cell Lung Cancer in Geriatric Patients |
| title_short | Long-Term Outcomes of Chest Wall Resection in Non- Small Cell Lung Cancer in Geriatric Patients |
| title_sort | long term outcomes of chest wall resection in non small cell lung cancer in geriatric patients |
| topic | Thoracic wall resection geriatric thoracic surgery nonsmall cell lung cancer advanced stage tumors |
| url |
http://www.hasekidergisi.com/archives/archive-detail/article-preview/long-term-outcomes-of-chest-wall-resection-in-non-/21240
|
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