肺癌切除后80岁的特定风险和结果:我们的5年经验
Hiral Jhala1, Jennifer Whiteley1, Mathew Thomas1
1Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, UK.
Journal of thoracic disease
|January 20, 2025
概括
治疗性肺癌手术对八十岁的人来说是安全的,生存率很好. 确定并发症的预测因素有助于优化患者选择和术前咨询,以便在老年肺癌患者中获得更好的结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 老年瘤学 老年瘤学
- 外科手术的结果
背景情况:
- 越来越多的80岁以上的人接受了肺癌手术.
- 需要评估这一人口群体的短期和长期结果.
研究的目的:
- 评估80岁的癌症肺切除术后的生存率和不良结果.
- 确定并发症和长期生存的预测因素.
主要方法:
- 对189名经过肺癌切除的八十岁患者 (平均年龄82岁) 的回顾性分析 (2016年1月至2021年12月).
- 数据包括人口统计,临床因素,操作细节,死亡率和长期结果.
- 与术后并发症和生存相关的术前和术后因素.
主要成果:
- 3.2%90天死亡率;没有手术期间死亡.
- 慢性肺炎与持续空气泄漏,感染,再输管和ICU入院的风险更高有关.
- 最少侵入性的方法和切除减少了并发症和停留时间.
- 平均整体存活时间为3.5年;病态阶段和不完全切除预测了更差的存活时间.
结论:
- 治愈性肺癌手术在适当选择的八岁老人中是安全的和可行的.
- 识别并发症预测因素有助于术前咨询和优化.
- 早期诊断和手术干预对于有利的结果至关重要.
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