Survival Analysis Of Elderly Patients With NSCLC After Surgery

Objective:To explore the prognostic factors that affecting survival of NSCLC in 70 years of age or older after surgery, which can provide reference for resection in them.Methods:With the improvement of the surgical and anesthetic techniques ,there are increasing numbers of elderly surgical patients with lung cancer .We retrospectively analyzed NSCLC patients aged more than 70 years who underwent lung cancer resection. All the potential prognostic factors, including gender, age, symptoms, comorbidities, complications, operation modes, pathologic stage, ECOG performance status(Zabrod scale of Eastern Cooperatie Oncology Group) and pathology types were analyzed by COX regression in SPSS 13.0.Results:The postoperative follow-up terminated by June 2009, with 9 cases lost. 1, 3, 5-year survival rate were 73.5%,63.6%,43.1% respectively.COX regression showed pathologic stage and ECOG performance status were the independent prognostic factors.Conclusion:In elderly patients in 70 years of age or older,with NSCLC in early stage and good performance status tend to have longer life expectance after surgery. Lobectomy is still the ideal surgical operation for elderly patient s who are able to tolerate the procedure. More limited lung surgery may be an adequate alternative in patients with associated comorbidities.