NDLI: Outcomes of lung cancer resection for patients with combined pulmonary fibrosis and emphysema.

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Outcomes of lung cancer resection for patients with combined pulmonary fibrosis and emphysema.

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Outcomes of lung cancer resection for patients with combined pulmonary fibrosis and emphysema.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Fukui, Mariko Suzuki, Kenji Matsunaga, Takeshi Oh, Shiaki Takamochi, Kazuya
Description	Country affiliation: Japan Author Affiliation: Fukui M ( Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.); Suzuki K ( Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan. kjsuzuki@juntendo.ac.jp.); Matsunaga T ( Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.); Oh S ( Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.); Takamochi K ( Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.)
Abstract	PURPOSE: Combined pulmonary fibrosis and emphysema (CPFE) has recently been reported as a prognostic factor that may increase the risk of lung cancer for patients with respiratory disorders; however, there have been no reports published on mortality and morbidity following major lung resection for patients with CPFE. METHODS: The subjects of this retrospective study were 1507 patients who underwent surgical resection of lung cancer at our institute between 2008 and 2013. We reviewed the computed tomography findings and divided the patients into four groups: CPFE group, fibrosis group, emphysema group, and normal group. The surgical outcomes of the patients with CPFE were compared with those of the patients in the other groups. RESULTS: The CPFE group comprised 137 (10.0 %) patients. This group had worse surgical morbidity and mortality rates than either the fibrosis group or the emphysema group. The 90-day mortality rates for the CPFE, fibrosis, and emphysema groups were 7.3, 0, and 3.0 %, respectively. A multivariate analysis of the CPFE group revealed that the distribution of IIP (HR 13.29, p = 0.038) and blood loss (ml) (HR 1.001, p = 0.013) predicted the hazard ratio for 90-day mortality. CONCLUSIONS: The postoperative outcome of patients with CPFE in this study was poor with respect to morbidity and mortality. The high rate of complications and poor survival warrants further investigation of the indications for surgery in patients with CPFE.
File Format	HTM / HTML
ISSN	09411291
Issue Number	3
Volume Number	46
e-ISSN	14362813
Journal	Surgery Today
Language	English
Publisher	Springer
Publisher Date	2016-03-01
Publisher Place	Japan
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Surgery Emphysema Complications Lung Neoplasms Surgery Pneumonectomy Pulmonary Fibrosis Female Humans Male Mortality Retrospective Studies Survival Rate Treatment Outcome Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Surgery

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