评估非小细胞肺癌肺切除术后胸腔积液对患者生存率的影响。

IF 0.6 Q4 SURGERY Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-03-01 Epub Date: 2024-03-30 DOI:10.5114/kitp.2024.138376
Janusz Wójcik, Tomasz Grodzki, Krzysztof Safranow, Jarosław Pieróg, Małgorzata Edyta Wojtyś, Dawid Kordykiewicz, Norbert Wójcik
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引用次数: 0

摘要

导言:肺炎切除术后肺水肿(PPE)是肺炎切除术的一种严重并发症,通常是致命的,但有报道称,肺炎切除术后肺水肿对因肺癌而接受肺叶或全肺切除术的患者有一定益处。目的:比较本中心数据库中在肺炎切除术后出现PPE的非小细胞肺癌(NSCLC)患者与恢复顺利的患者的生存结果:对 1995 年至 2009 年间因 NSCLC 而进行的 928 例肺切除术的结果进行了评估。对照组的选择考虑了随访时间、年龄、性别、肿瘤组织病理学、TNM分类和手术侧等方面的倾向得分匹配要求:结果:32 名患有 PPE 综合征的患者和 96 名在肺切除术后无并发症的患者被纳入对照组。估计5年和10年生存率分别为71%和59%。与恢复顺利的组别相比,平均生存期和中位生存期分别延长了近两倍和三倍。与无并发症组相比,PPE 组的癌症相关死亡率低 2 倍,癌症无关死亡率高 1.5 倍。PPE康复后,患者因各种原因和癌症死亡的风险分别降低了2.5倍和3.5倍:结论:与恢复顺利的患者相比,接受了肺切除术的NSCLC患者出现胸腔积液似乎会改善其生存预后。
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Evaluation of the effects of postoperative pleural empyema on survival rates of patients after pneumonectomy due to non-small cell lung cancer.

Introduction: Postpneumonectomy empyema (PPE) is a severe and often fatal complication of pneumonectomy, but some benefits of PPE were reported in patients who underwent either lobe or an entire lung resection due to lung cancer.

Aim: To compare the survival outcomes of patients with non-small-cell lung carcinoma (NSCLC), who developed PPE after pneumonectomy with uneventful recoveries available in our center's database.

Material and methods: Outcomes of 928 pneumonectomies performed due to NSCLC between 1995 and 2009 were evaluated. The selection of the control group took into account the requirements for propensity score matching in terms of follow-up period, age, sex, tumor histopathology, TNM classification and the side of surgery.

Results: Thirty-two patients with a PPE syndrome and 96 patients without complications after pneumonectomy were included. The estimated 5- and 10-year survival rates were 71% and 59%, respectively. The average and median survival was almost two- and three-fold longer compared to the group with uneventful recoveries. A 2-fold lower cancer-related mortality rate and a 1.5-fold higher cancer-unrelated mortality rate were noted in the PPE group as opposed to the group without complications. Having recovered from PPE, the patients had their risk of death reduced by 2.5-fold and 3.5-fold due to all causes and cancer, respectively.

Conclusions: Pleural empyema in NSCLC patients who underwent pneumonectomy seems to improve the survival outcomes compared to patients with uneventful recoveries.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Polish Journal of Thoracic and Cardiovascular Surgery is a quarterly aimed at cardiologists, cardiosurgeons and thoracic surgeons. Includes the original works (experimental, research and development), illustrative and casuistical works about cardiology and cardiosurgery.
期刊最新文献
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