80岁以上高龄肺癌患者的外科治疗方法探讨

目的总结80岁以上超高龄肺癌患者的外科治疗方法和经验。方法回顾性分析2005年1月—2011年12月本院收治的23例80岁以上超高龄肺癌患者的临床资料,分析术前准备、手术方法及围术期处理方法。结果全组肺叶切除9例,局部切除14例,术后发生并发症4例,术后1年生存率为78.3%,3年为50.6%,5年为18.4%。结论对80岁以上超高龄肺癌患者的外科治疗应抱积极态度。综合判断生理年龄,正确判断手术适应证,选择分期较早的患者,尽量使用微创方法,缩短手术时间以及加强围术期处理确实能使此类患者获得较佳的外科治疗效果。

Surgical treatment of super-aged patients over 80 years old with lung cancer

Objective To summarize the methods and the experience of surgical treatment for the superA1.aged patients over 80 years old with lung cancer.Methods The clinical data of 23 superA1.aged patients over 80 with lung cancer received from January,2005 to December,2011 were retrospectively analyzed,and the preA1.operation preparation,operation methods and perioperation management were analyzed.Results All patients received lung operation in which 9 cases received lobectomy and 14 cases received wedge resection.Postoperative complications occurred in 4 patients.One,three and fiveA1.year postoperative survival rates were 78.3%,50.6% and 18.4%,respectively.Conclusion Surgical treatment of lung cancer for superA1.aged patients over 80 with lung cancer should be done positively.Comprehensive judgment on physiological ages,corrective evaluation of surgical indications,and selection of earlyA1.stage patients,application of minimally invasive methods,shortening of operation time and enhancement of perioperation management can all make the patients achieve better therapeutic effects of surgical treatment.