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Article: Video-Assisted Thoracic Surgery Pulmonary Resection for Lung Cancer in Patients with Poor Lung Function

TitleVideo-Assisted Thoracic Surgery Pulmonary Resection for Lung Cancer in Patients with Poor Lung Function
Authors
Issue Date2006
Citation
Annals of Thoracic Surgery, 2006, v. 81 n. 6, p. 1996-2003 How to Cite?
AbstractBackground: The aim of this study is to evaluate the early outcome of patients with poor lung function who underwent video-assisted thoracic surgery (VATS) pulmonary resection for primary non-small cell lung carcinoma. Methods: We reviewed retrospectively the records of patients with lung cancer undergoing VATS lung resection over a period of 5 years. Twenty-five patients with preoperative poor lung function defined as forced expiratory volume in 1 second less than 0.8 L or the percentage predicted value for forced expiratory volume in 1 second less than 50% were identified. Thirteen patients underwent VATS lobectomies and 12 VATS wedge resections. Data were analyzed with respect to demographics, risk factors, and early postoperative outcome and survival. Results: There were 8 cases of morbidities (29%) and no surgical mortality. Five of these 8 patients had respiratory-related complications after surgery. A deterioration in pulmonary performance as indicated by the Eastern Cooperative Oncology Group (ECOG) score was seen in 7 patients (28%), with only 1 patient having an ECOG score greater than 2. No patient required home oxygen supplementation beyond the third month postoperatively. After a median follow-up period of 15.1 months (range, 1 to 24), 5 patients died. Only 1 patient (4%) died of a respiratory complication (pneumonia 6 weeks after surgery). The other 4 deaths were due to recurrent or metastatic disease. The actuarial survival rates at 1 and 2 years were 80% and 69%, respectively. Conclusions: Video-assisted thoracic surgery pulmonary resection for cancer in patients with poor lung function can achieve acceptable functional and oncologic outcome. © 2006 The Society of Thoracic Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/196682
ISSN
2015 Impact Factor: 2.975
2015 SCImago Journal Rankings: 1.490
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorGarzon, JC-
dc.contributor.authorNg, CSH-
dc.contributor.authorSihoe, ADL-
dc.contributor.authorManlulu, AV-
dc.contributor.authorWong, RHL-
dc.contributor.authorLee, TW-
dc.contributor.authorYim, APC-
dc.date.accessioned2014-04-24T02:10:33Z-
dc.date.available2014-04-24T02:10:33Z-
dc.date.issued2006-
dc.identifier.citationAnnals of Thoracic Surgery, 2006, v. 81 n. 6, p. 1996-2003-
dc.identifier.issn0003-4975-
dc.identifier.urihttp://hdl.handle.net/10722/196682-
dc.description.abstractBackground: The aim of this study is to evaluate the early outcome of patients with poor lung function who underwent video-assisted thoracic surgery (VATS) pulmonary resection for primary non-small cell lung carcinoma. Methods: We reviewed retrospectively the records of patients with lung cancer undergoing VATS lung resection over a period of 5 years. Twenty-five patients with preoperative poor lung function defined as forced expiratory volume in 1 second less than 0.8 L or the percentage predicted value for forced expiratory volume in 1 second less than 50% were identified. Thirteen patients underwent VATS lobectomies and 12 VATS wedge resections. Data were analyzed with respect to demographics, risk factors, and early postoperative outcome and survival. Results: There were 8 cases of morbidities (29%) and no surgical mortality. Five of these 8 patients had respiratory-related complications after surgery. A deterioration in pulmonary performance as indicated by the Eastern Cooperative Oncology Group (ECOG) score was seen in 7 patients (28%), with only 1 patient having an ECOG score greater than 2. No patient required home oxygen supplementation beyond the third month postoperatively. After a median follow-up period of 15.1 months (range, 1 to 24), 5 patients died. Only 1 patient (4%) died of a respiratory complication (pneumonia 6 weeks after surgery). The other 4 deaths were due to recurrent or metastatic disease. The actuarial survival rates at 1 and 2 years were 80% and 69%, respectively. Conclusions: Video-assisted thoracic surgery pulmonary resection for cancer in patients with poor lung function can achieve acceptable functional and oncologic outcome. © 2006 The Society of Thoracic Surgeons.-
dc.languageeng-
dc.relation.ispartofAnnals of Thoracic Surgery-
dc.titleVideo-Assisted Thoracic Surgery Pulmonary Resection for Lung Cancer in Patients with Poor Lung Function-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.athoracsur.2006.01.038-
dc.identifier.pmid16731119-
dc.identifier.scopuseid_2-s2.0-33646846624-
dc.identifier.volume81-
dc.identifier.issue6-
dc.identifier.spage1996-
dc.identifier.epage2003-
dc.identifier.isiWOS:000238027600008-

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