【摘要】 目的探讨全胸腔镜肺叶切除及纵隔淋巴结清扫术在治疗高龄非小细胞肺癌(non-small cell lungcancer,NSCLC)患者中的价值。方法 回顾分析225例接受该术式的NSCLC患者的临床资料,对比38例高龄(≥70岁)与随机抽取的57例非高龄(<70岁)患者的手术创伤、术后恢复、术后并发症及早期预后。结果 两组患者在手术创伤、术后恢复方面无差异;高龄组患者术后心血管并发症发生率高于非高龄组(23.7%vs 1.8%,P=0.001),其余并发症没有增多;术后生存分析两组无差异。结论 该术式治疗高龄NSCLC患者安全可行且疗效良好。更多还原

【Abstract】 Objective To evaluate video-assisted thoracoscopic(VATS) lobectomy and mediastinal lymph node dissection for treatment of non-small cell lung cancer(NSCLC) in elderly patients.Methods The data on two hundred and twenty five patients with NSCLC undergoing VATS lobectomy and mediastinal lymph node dissection were retrospectively reviewed,among whom 38 were elderly patients(≥70 y).The surgical trauma,recovery,postoperative complications and prognosis of elderly patients were compared with those of 57 randomly selected patients aged <70 y. Results There was no significant difference in surgical trauma and postoperative recovery.The incidence of cardiovascular complications in the elderly group was higher(23.7% vs 1.8%,P=0.001).No significant difference was found in other complications and survival rate. Conclusion VATS lobectomy and mediastinal lymph node dissection was a safe and feasible surgical modality for the treatment of elderly patients with NSCLC.更多还原