Is Chest Wall Resection Safe in Geriatric Non-Small Cell Lung Cancer?
Clinical Respiratory Journal, cilt.19, sa.11, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 19 Sayı: 11
- Basım Tarihi: 2025
- Doi Numarası: 10.1111/crj.70137
- Dergi Adı: Clinical Respiratory Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals
- Anahtar Kelimeler: chest wall, non-small cell lung cancer, prognostic factors, resection
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: Our aim in this study is to evaluate the safety and efficacy of surgery in patients undergoing chest wall resection due to non-small cell lung cancer (NSCLC) based on age groups. Methods: The study was conducted retrospectively on 160 patients with NSCLC who underwent chest wall resection between 2009 and 2019. Patients were classified into Group A (under 70 years) and Group B (70 years and older). Results: The study found a complication rate of 28.1%, but no negative impact of the geriatric age group on complications was determined. The risk of complications varied depending on the number of ribs removed (p = 0.035). The survival rate for Group A was 72%, while for Group B it was 93% (p = 0.189). No significant differences were found in terms of gender, Charlson Comorbidity Index (CCI), and histopathological results. In patients who underwent lobectomy, survival was 85%, while a significant difference was observed in those who underwent pneumonectomy, with a survival rate of 41% (p < 0.001). Conclusion: It was determined that advanced age is not a prognostic factor in surgical resection regarding complications and survival, with the most important prognostic factors being the type of resection and the stage of the disease.