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目的探讨全胸腔镜肺叶切除及纵隔淋巴结清扫术在治疗高龄非小细胞肺癌(non-small cell lungcancer,NSCLC)患者中的价值。方法 回顾分析225例接受该术式的NSCLC患者的临床资料,对比38例高龄(≥70岁)与随机抽取的57例非高龄(<70岁)患者的手术创伤、术后恢复、术后并发症及早期预后。结果 两组患者在手术创伤、术后恢复方面无差异;高龄组患者术后心血管并发症发生率高于非高龄组(23.7%vs 1.8%,P=0.001),其余并发症没有增多;术后生存分析两组无差异。结论 该术式治疗高龄NSCLC患者安全可行且疗效良好。
Objective To investigate the value of total thoracoscopic lobectomy and mediastinal lymph node dissection in the treatment of elderly patients with non-small cell lung cancer (NSCLC). Methods The clinical data of 225 patients with NSCLC undergoing surgery were retrospectively analyzed. Surgical trauma, postoperative recovery, and postoperative complications were compared between 38 elderly patients (≥70 years) and 57 non-elderly patients (<70 years) randomly selected. Symptoms and early prognosis. Results There was no difference in surgical trauma and postoperative recovery between the two groups. The incidence of postoperative cardiovascular complications in the advanced age group was higher than that in the non-advanced age group (23.7% vs 1.8%, P = 0.001), while the other complications did not increase Post-Survival Analysis There was no difference between the two groups. Conclusion The surgical treatment of elderly patients with NSCLC safe and feasible and good effect.