Mediastinal lymph node dissection deteriorates the outcome in octogenarians with lung cancer

Masayuki Chida, Tatsuo Tanita, Masami Sato, Yasushi Hoshikawa, Sumiko Maeda, Chiaki Endo, Masashi Handa, Takashi Kondo

Research output: Contribution to journalArticle

Abstract

Objective. Evaluation of the effects of mediastinal lymph node dissection (ND2) on the outcome in octogenarians with primary lung cancer. Methods. The outcome and post-operative complications were retrospectively investigated in 35 octogenarians with lung cancer; 22 underwent standard operation (ND2 group), 13 underwent limited resection (NDO-1 group), Results. Five-year survival rate was 22.2% and 43.8% in ND2 and NDO-1 group, respectively (p < 0.05). In cases of pathological stage I, the survival rate was shorter in the ND2 group (30.8%), than in the NDO-1 group (50.0%). Standard operation with dissection of mediastinal nodes increased the incidence of postoperative cardiac complications (p < 0.05). Conclusion. It can be concluded that standard lung operation with mediastinal lymph node dissection leads to higher mortality in octogenarians with lung cancer.

Original languageEnglish
Pages (from-to)23-27
Number of pages5
JournalJapanese Journal of Lung Cancer
Volume42
Issue number1
DOIs
Publication statusPublished - 01-01-2002

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All Science Journal Classification (ASJC) codes

  • Oncology
  • Pulmonary and Respiratory Medicine

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