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- Publisher Website: 10.1016/j.athoracsur.2006.01.038
- Scopus: eid_2-s2.0-33646846624
- PMID: 16731119
- WOS: WOS:000238027600008
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Article: Video-Assisted Thoracic Surgery Pulmonary Resection for Lung Cancer in Patients with Poor Lung Function
Title | Video-Assisted Thoracic Surgery Pulmonary Resection for Lung Cancer in Patients with Poor Lung Function |
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Authors | |
Issue Date | 2006 |
Citation | Annals of Thoracic Surgery, 2006, v. 81 n. 6, p. 1996-2003 How to Cite? |
Abstract | Background: 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 Identifier | http://hdl.handle.net/10722/196682 |
ISSN | 2023 Impact Factor: 3.6 2023 SCImago Journal Rankings: 1.203 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Garzon, JC | - |
dc.contributor.author | Ng, CSH | - |
dc.contributor.author | Sihoe, ADL | - |
dc.contributor.author | Manlulu, AV | - |
dc.contributor.author | Wong, RHL | - |
dc.contributor.author | Lee, TW | - |
dc.contributor.author | Yim, APC | - |
dc.date.accessioned | 2014-04-24T02:10:33Z | - |
dc.date.available | 2014-04-24T02:10:33Z | - |
dc.date.issued | 2006 | - |
dc.identifier.citation | Annals of Thoracic Surgery, 2006, v. 81 n. 6, p. 1996-2003 | - |
dc.identifier.issn | 0003-4975 | - |
dc.identifier.uri | http://hdl.handle.net/10722/196682 | - |
dc.description.abstract | Background: 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.language | eng | - |
dc.relation.ispartof | Annals of Thoracic Surgery | - |
dc.title | Video-Assisted Thoracic Surgery Pulmonary Resection for Lung Cancer in Patients with Poor Lung Function | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.athoracsur.2006.01.038 | - |
dc.identifier.pmid | 16731119 | - |
dc.identifier.scopus | eid_2-s2.0-33646846624 | - |
dc.identifier.volume | 81 | - |
dc.identifier.issue | 6 | - |
dc.identifier.spage | 1996 | - |
dc.identifier.epage | 2003 | - |
dc.identifier.isi | WOS:000238027600008 | - |
dc.identifier.issnl | 0003-4975 | - |