抽象
术后死亡曾经是肺癌切除的重要并发症,特别是在老年患者中。为了支持一般情况的决策,评估当代结果和预后因素。7899年肺癌患者的电脑记录,从1984年诊断为1992年,在连接到鹿特丹癌症登记处的医院,分析了评估切除率和30天的术后死亡率。切除在所有患者的20%中进行。在患者中,70年龄和老年人,切除率为14%,患者26%。术后死亡率为3.1%;男性3.6%,女性为0.4%。根据多变量分析,手术的年龄和程度是手术风险的主要决定因素。对于0-59,60-69和>或= 70岁的患者,术后死亡率分别为1.4,3.5和4.0%。肺切除术后的手术风险为5.7%,白细胞切除术后4.4%,较小的切除后1.4%。 Pneumonectomies were performed less often in elderly patients: 27% of operations in patients > or = 70 yrs versus 37% of operations in younger patients. Age appears to be related to treatment choice and postoperative mortality in patients with lung cancer. However, even in patients over 70 yrs of age, resections can be performed at acceptable risk, implying that chronological age should not automatically determine treatment decisions.