Immediate results of surgical treatment of advanced age patients with non-small cell lung cancer

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OBJECTIVE

To study the immediate results of surgical treatment of advanced age patients with non-small cell lung cancer (NSCLC).

MATERIAL AND METHODS

We included 190 elderly and senile patients with NSCLC who underwent surgery at the thoracic department of the Tomsk Regional Clinical Hospital in 2010—2018. There were 149 men and 41 women. Cancer stage I was observed in 67 (35%) cases, stage II — 49 (26%) patients, stage III — 69 (37%) patients, stage IV — 5 (2%) patients. Squamous cell cancer was diagnosed in 94 patients, adenocarcinoma — 78 patients, large cell lung cancer — 18 patients. Paraneoplastic inflammatory complications occurred in 26% of patients, concomitant diseases — in 99% of patients. The research included anatomic lung resection with systematic mediastinal lymph node dissection and the absence of tumor at the resection line. There were 118 lobectomies and 47 pneumonectomies. In 74 cases, combined procedures were carried out. Lobectomy with pulmonary artery resection was performed in 18 patients, lobectomy with bronchial resection — in 10 cases. Twenty-five patients underwent video-assisted lobectomy.

CONCLUSION

An acceptable morbidity and mortality allow you to expand the indications for radical surgery in geriatric patients with NSCLC. However, we must establish strict indications for pneumonectomy. Bronchial and angioplastic lobectomy may be an alternative to pneumonectomy in NSCLC patients.

Keywords:

non-small cell lung cancer

geriatric patients

advanced age patients

lobectomy

pneumonectomy

Authors:

Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
National Research Tomsk State University

SPIN RSCI: 6744-9541
Scopus AuthorID: 35197267200
ResearcherID: T-5818-2018
ORCID: 0000-0002-5674-0177

Borodina Yu.A.

Siberian State Medical University

Received:

17.10.2019

Accepted:

25.01.2020

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