2012
DOI: 10.1055/s-0032-1304543 View full text |Buy / Rent full text
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Abstract: Objective The purpose was to determine the rates of postoperative pulmonary complications, and to clarify the impact of COPD on long-term survival in lung cancer patients after surgical resection. Methods A retrospective chart review was performed on 1,461 patients who had undergone pulmonary resection for lung cancer from 1990 to 2005. Classification of COPD severity was based on spirometric guidelines of the Global Initiative for Chronic Obstructive Lung Disease (GOLD). Postoperative complication rates among… Show more

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“…Furthermore, the frequencies of all postoperative pulmonary complications (PPCs), including pneumonia (10.1%-16.2% in COPD patients following lung cancer surgery) [7779], atelectasis (3.5%-15.4%) [79, 80], empyema (2.2%-8.3%) [78], and persistent air leak (12%-16.2%) [77, 81], were often higher in COPD patients. Therefore, an accurate risk assessment in patients with lung cancer coexisting with COPD is critically important, in order to optimize treatment for these patients.…”
Section: Treatment For Lung Cancer With Copdmentioning
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“…Furthermore, the frequencies of all postoperative pulmonary complications (PPCs), including pneumonia (10.1%-16.2% in COPD patients following lung cancer surgery) [7779], atelectasis (3.5%-15.4%) [79, 80], empyema (2.2%-8.3%) [78], and persistent air leak (12%-16.2%) [77, 81], were often higher in COPD patients. Therefore, an accurate risk assessment in patients with lung cancer coexisting with COPD is critically important, in order to optimize treatment for these patients.…”
Section: Treatment For Lung Cancer With Copdmentioning
“…Most studies found that COPD exerted an unfavorable effect on lung cancer prognosis [78, 110, 111], while others did not [112, 113]. Two recent meta-analyses indicated COPD as an adverse prognostic predictor, but the results suffered from a high level of heterogeneity between studies [114, 115].…”
Section: Prognosis Of Lung Cancer With Copdmentioning
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“…Lung cancer is closely related to COPD [ 22 ]. Higher COPD grades had higher rates of cancer-related deaths after lung cancer surgery [ 23 ]. Sekine et al showed that the impact of COPD on survival was clear only in stage 1A and had a higher incidence of tumor recurrence [ 8 ].…”
Section: Discussionmentioning
“… 21 The presence of COPD and its severity have been proved to be significant prognostic factors for non-small-cell lung cancer (NSCLC) patients who underwent surgical treatment. 22 , 23 …”
Section: Introductionmentioning