A Surgical Treatment Study Of Elderly Lung Cancer

Objective:The objective of the study is to analyze 122 cases of elderly patients with lung cancer that underwent surgical treatment were retrospectively analyzed. The study explores the clinical characteristic of elderly patients’ lung cancer surgery treatment, perioperative treatment, identifications, timing of surgery, and method of surgery and curative effect, further improve the level of the diagnosis and treatment of lung cancer for the elderly.Methods:A retrospective analysis of clinical data of 122 cases of lung cancer in elderly patients hospitalized for surgical treatment at the First Affiliated Hospital of Guangxi Medical University from January 2012-December 2015. All this group of patients underwent surgery with intravenous anesthesia and double-lumen endotracheal intubation. Incision consideration: According to the location of the tumor either selecting armpit incision or anterolateral small incision to minimize tissue damage.122 patients were treated with surgical treatment,73 cases of open-thorax surgery and video-assisted thoracic surgery in 49 cases,4 cases of total pneumonectomy (3.3%), lobectomy in 98 cases (80.3%), pulmonary wedge resection in 9 cases (7.4%), lobe bronchial sleeve resection in 6 cases (4.9%), explorative thoracotomy 5 cases (4.1%), radical cancer resection in 117 cases (95.9%), and palliative resection in 5 cases.Results:There were no perioperative deaths occurred, all patients were discharged from the hospital. There are postoperative arrhythmia in three cases, two cases of pulmonary atelectasis, pulmonary infection and respiratory failure in 2 cases, poor wound healing in 2 cases and 1 case of bronchial stump fistula after active treatment. All complications were cured and patients were discharged.Conclusions:1. Symptoms of lung cancer in elderly patients are more complex, diverse and more prone to missed diagnosis and misdiagnosis. These symptoms may appear as unhealed chronic cough with sputum, when there is blood stained sputum, chest pain and other symptoms appeared, we should be wary of lung cancer. Ordering chest CT examination as soon as possible in order to facilitate the diagnosis of lung cancer; 2. Surgical treatment is an effective treatment for lung cancer in elderly patients, by strengthening the perioperative management will help improve the result of the surgical treatment and improve post-operative recovery.