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Ryabov A.B.
Hertsen Moscow Oncology Research Institute
Pikin O.V.
Hertsen Moscow Oncology Research Institute
Glushko V.A.
Herzen Research Institute of Oncology
Kolbanov K.I.
P.A. Herzen Moscow Oncology Research Institute - Branch National Medical Radiology Research Center of the Ministry of Health of the Russia
Bagrov V.A.
Herzen Research Institute of Oncology
Aleksandrov O.A.
Herzen Moscow Oncology Research Institute — Branch Campus of the National Medical Radiology Research Center
Barmin V.V.
Herzen Research Institute of Oncology
Martynova D.E.
Herzen Research Institute of Oncology
Vorobyeva E.Yu.
Hertzen Moscow Cancer Research Center
Larionov D.A.
Hertzen Moscow Cancer Research Center
Surgical treatment of lung cancer in patients over 75 years old
Journal: Pirogov Russian Journal of Surgery. 2022;(12): 20‑30
Views: 4045
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To cite this article:
Ryabov AB, Pikin OV, Glushko VA, et al. . Surgical treatment of lung cancer in patients over 75 years old. Pirogov Russian Journal of Surgery.
2022;(12):20‑30. (In Russ.)
https://doi.org/10.17116/hirurgia202212120
To analyze surgical treatment of lung cancer in patients over 75 years old.
The study enrolled 73 patients. Lobectomy was performed in 50 (68.5%) patients, segmentectomy — 14 (19.2%), pneumonectomy — 4 (5.5%), bilobectomy — 3 (4.1%), wedge resection — 2 (2.7%) patients. The most common clinical scenario was lobectomy for lung adenocarcinoma stage I. Metastases in lymph nodes were noted in 32.9% of cases. Among 9 patients with pN2 (12.9%), lesion of mediastinal lymph nodes was preoperatively diagnosed in 4 (44%) cases. Mean tumor size was 3 (1—14) cm.
Overall morbidity was 16.4%, mortality 5.5%. Multivariate analysis revealed the most significant risk factors such as stage IIIb (OR 9.3, 95% CI 1.365—63.816, p=0.023), pN1 (OR 3.889, 95% CI 1.008—14.999, p=0.049), pN2 (OR 5.300, 95% CI 1.170—23.999, p=0.030), central cancer (OR 7.572, 95% CI 1.742—32.884, p=0.007).
Surgical treatment of lung cancer patients over 75 years old may be completed safely and effectively in careful preoperative selection of patients. The most important risk factors of postoperative complications are cancer stage IIIb stage, lymph node lesion and central cancer.
Keywords:
Authors:
Ryabov A.B.
Hertsen Moscow Oncology Research Institute
Pikin O.V.
Hertsen Moscow Oncology Research Institute
Glushko V.A.
Herzen Research Institute of Oncology
Kolbanov K.I.
P.A. Herzen Moscow Oncology Research Institute - Branch National Medical Radiology Research Center of the Ministry of Health of the Russia
Bagrov V.A.
Herzen Research Institute of Oncology
Aleksandrov O.A.
Herzen Moscow Oncology Research Institute — Branch Campus of the National Medical Radiology Research Center
Barmin V.V.
Herzen Research Institute of Oncology
Martynova D.E.
Herzen Research Institute of Oncology
Vorobyeva E.Yu.
Hertzen Moscow Cancer Research Center
Larionov D.A.
Hertzen Moscow Cancer Research Center
Received:
04.05.2022
Accepted:
14.06.2022
List of references:
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