Comparison of Elderly Patients With Younger Age Patients Who Were Diagnosed With Non-Small Cell Lung Cancer in Terms of Operability

Abstract

Aim

Elderly patients who were operated for non-small cell lung cancer were compared with younger age patients in terms of their demographic characteristics, resection type, survival, early and late postoperative complications, length of hospital stay, and effect of older age on operability.

Materials and Methods

A total of 288 patients who underwent resection for non-small cell lung cancer in Kocaeli University Medical Faculty Thoracic Surgery Department were examined. Among the patients with adequate data, 244 patients aged <70 years (Group I, control group) and 44 patients aged >70 years (advanced age) (Group II, study group) were retrospectively analyzed.

Results

There were no statistically significant differences between two groups in terms of distribution of medical history of patients (p= 0.083), and resection types (p= 0.557). A statistically significant difference was observed between the two groups in terms of survival (p= 0.013). There was no statistically significant difference between the two groups in terms of postoperative early complications (p= 0.514), but there was a statistically significant difference in terms of postoperative late complications (p= 0.034). No statistically significant difference was observed between the two groups in terms of postoperative discharge time (p = 0.916).

Conclusion

This study showed that the demographic characteristics were significantly similar between the elderly and younger patients who were treated for non-small cell lung cancer, although there were partly statistically significant differences in terms of postoperative morbidity and surgical treatment results. It was also observed that advanced age alone does not constitute a contraindication for surgical treatment.

Keywords

• Elderly,Lung cancer,surgery

Küçük Hücreli Dışı Akciğer Kanseri Tanılı İleri Yaş Hastaların Opere Edilebilirlik Açısından Erken Yaşlı Hastalarla Karşılaştırılması

Abstract

Amaç

Küçük hücreli dışı akciğer kanseri nedeni ile opere edilen ileri yaşlı hastaların demografik özellikler, rezeksiyon tipi, sağkalım, erken ve geç post-op komplikasyonlar, hastanede yatış süresi açısından daha genç yaş grubu ile karşılaştırılarak ileri yaşın opere edilebilirlik üzerindeki etkisi araştırılmıştır.

GereçveYöntem

Kocaeli Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı tarafından küçük hücreli dışı akciğer kanseri nedeni ile rezeksiyon yapılan 288 hasta incelendi. Verileri yeterli görülen hastalar arasından 70 yaş altı (Grup I – Kontrol Grubu) 244 hasta ve 70 yaş ve üzeri (ileri yaş) (Grup II – Çalışma Grubu) 44 hasta hasta geriye dönük olarak incelendi.

Bulgular

Her iki grup arasında hastaların özgeçmişi (p=0,083) ve rezeksiyon tipi (p=0,557) açısından istatistiksel olarak anlamlı fark gözlenmedi. Her iki grup arasında sağkalım açısından istatistiksel olarak anlamlı fark gözlendi (p=0,013). Her iki grup arasında post operatif erken komplikasyon açısından istatistiksel olarak anlamlı fark görülmezken (p=0,514) post operatif geç komplikasyon açısından istatistiksel olarak anlamlı fark gözlendi (p=0,034). Her iki grup arasında post operatif taburculuk süresi açısından istatistiksel olarak anlamlı fark gözlenmedi (p=0,916).

Sonuç

Çalışmamızda elde ettiğimiz sonuçlara göre; küçük hücreli dışı akciğer kanseri nedeni ile opere edilmiş ileri yaş hastaların genç hastalar ile benzer demografik özelliklerde olduğu, post-operatif morbidite ve cerrahi tedavi sonuçlarında istatistiksel olarak kısmen anlamlı farklar görülse de büyük oranda benzer olduğu saptanmıştır. Cerrahi tedavi için ileri yaşın tek başına kontraendikasyon teşkil etmediği sonucuna varılmıştır.

Keywords

• İleri yaş,Akciğer kanseri,Cerrahi

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