Morbi-mortalité de la résection pulmonaire pour cancer par chirurgie vidéo-assistée chez l’octogénaire

Drevet, Gabrielle; Maury, Jean Michel; Ginoux, M.; Tronc, François

doi:10.1016/j.rmr.2020.01.007

Cited by 2 publications

(1 citation statement)

References 26 publications

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“…To a greater extent, the accidental injuries during the surgery were reduced, and the amount of bleeding and postoperative drainage was further reduced. Besides, the surgical instruments are mature, accurate, and limited, which are convenient for lobectomy and lymph node dissection (13,14). In this study, the perioperative indicators such as operation time were significantly different between the two groups of the patients, but the number of lymph node dissection was not significantly different.…”

Section: Discussionmentioning

confidence: 59%

Complete Video-Assisted Thoracoscopic Surgery and Traditional Open Surgery for Elderly Patients With NSCLC

2022

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Objective:To observe the efficacy of complete video-assisted thoracoscopic surgery (CVATS) and traditional open surgery (TOS) in the treatment of elderly patients with non-small cell lung cancer (NSCLC) and their influence on cardiopulmonary function.MethodsA total of 120 elderly patients with primary NSCLC who were treated surgically in our hospital from January 2018 to January 2021 were selected and divided into the study group and the control group according to the different surgical procedures, 60 patients in each group. CVATS was used in the observation group and TOS in the control group. The surgical indexes and cardiopulmonary function indexes were observed and compared between the two groups. The serum C-reactive protein (CRP) level and visual analog scale's (VAS) score of the patients at different time points were detected. The incidence of postoperative complications was compared between the two groups.ResultsThe perioperative indexes such as operation time were significantly different between the two groups (p < 0.05), but the number of lymph node dissection was not significantly different (p > 0.05). The serum CRP level and VAS score of the observation group were significantly lower than those of the control group on the 1st, 3rd, and 7th postoperative days (p < 0.05). There were significant differences in cardiopulmonary function between the two groups on the 7th postoperative day (p < 0.05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group (p > 0.05).ConclusionCVATS is effective in the treatment of NSCLC. Compared with TOS therapy, CVATS has less damage to cardiopulmonary function and fewer complications, which is conducive to the rehabilitation of elderly patients. It is a safe and reliable scheme for the treatment of elderly patients with NSCLC.

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Section: Discussionmentioning

confidence: 59%

Complete Video-Assisted Thoracoscopic Surgery and Traditional Open Surgery for Elderly Patients With NSCLC

2022

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Lung cancer in older patients

Kharagezov¹,

Лазутин²,

Pyltsin

et al. 2021

Innovacionnaâ medicina Kubani

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Increasing life expectancy is the goal of social programs in the Russian Federation as a reflection of the success of public health. Globally, there is a trend for aging of the population, contributing to an increased risk for lung cancer developing which is primarily a disease of the elderly. Chronologic age or performance scores alone are not accurate predictors of patients’ capacity for tolerating aggressive cancer therapies. Use of a comprehensive geriatric assessment to determine treatment strategy is able to reduce toxicities and treatment failures. Safe elderly patients are often able to tolerate surgical resection, radiation, and/or chemotherapy appropriate for their tumor stage, with outcomes similar to those of younger patients, albeit with higher rates of treatment-related toxicity.

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Morbi-mortalité de la résection pulmonaire pour cancer par chirurgie vidéo-assistée chez l’octogénaire

Cited by 2 publications

References 26 publications

Complete Video-Assisted Thoracoscopic Surgery and Traditional Open Surgery for Elderly Patients With NSCLC

Complete Video-Assisted Thoracoscopic Surgery and Traditional Open Surgery for Elderly Patients With NSCLC

Lung cancer in older patients

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