CAJ | 학술논문

目的探讨70岁以上老年Ⅰ期肺癌患者的手术方式及对预后的影响.方法回顾性分析2003年1月至2011年1月间71例70岁以上的Ⅰ期非小细胞肺癌患者.男51例、女20例,年龄70 ～84岁,平均74岁.其中肺楔形切除和肺段切除术22例,肺叶切除术49例.随访2～81个月,平均30个月.结果肺楔形切除、肺段切除术组及肺叶切除术组术后并发症发生率分别为36.4％和46.9％.术后住院天数11.36天和12.24天.3年总生存率85.9％和78.8％;5年总生存率56.4％和56.9％,以上各组比较均差异无统计学意义.分期为影响预后的独立因素.结论老年Ⅰ期肺癌患者,肺楔形切除或肺段切除术可获得与肺叶切除术相似的预后.
목적 탐토70세이상노년Ⅰ기폐암환자적수술방식급대예후적영향.방법 회고성분석2003년1월지2011년1월간71례70세이상적Ⅰ기비소세포폐암환자.남51례、녀20례,년령70 ～84세,평균74세.기중폐설형절제화폐단절제술22례,폐협절제술49례.수방2～81개월,평균30개월.결과 폐설형절제、폐단절제술조급폐협절제술조술후병발증발생솔분별위36.4％화46.9％.술후주원천수11.36천화12.24천.3년총생존솔85.9％화78.8％;5년총생존솔56.4％화56.9％,이상각조비교균차이무통계학의의.분기위영향예후적독립인소.결론 노년Ⅰ기폐암환자,폐설형절제혹폐단절제술가획득여폐협절제술상사적예후.
Objective The purpose of this study is to evaluate Surgical Procedure and Prognosis for elderly stage 1NSCLC patients above 70 years old.Methods The patients who were stage Ⅰ non-small cell lung cancer from 2003 to 2007were enrolled ( n =71 ).The median age was 74 years ( ranged from 70 to 84 years).The median follow-up of patients was 30months( ranged from 2 to 81 months).Results The percentages of postoperative complications after sublobar resection and lobectomy patients were 36.4％ and 46.9％,respectively.The period in hospital were 11.36 days and 12.24 days.The 3 year survival was 85.9％ for patients undergoing sublobar resection and 78.8％ for lobectomy.The 5 year survival was 56.4％ and 56.9％ respectively.No significant difference was observed between two types of surgical procedure in the elderly.Staging is the independent factor of prognosis.Conclusion Lobectomy is still the main therapy method for elderly stage Ⅰ NSCLC patients.Especially,for those who can undergo radical resection.But sublobar resection also appears to be a viable surgical treatment for patients with cardiopulmonary physiologic impairment.