Sawada Shigeki, Suehisa Hiroshi, Ueno Tsuyoshi, Yamashita Motohiro
Department of Thoracic Surgery, National Hospital Organization Shikoku Cancer Center, Matsuyama 791-0280,
Acta Med Okayama. 2016 Jun;70(3):183-8. doi: 10.18926/AMO/54417.
We reviewed post-operative complication and mortality rates from 1995 through 2014 and evaluated the changes in those rates across that 20-year period. Two thousand and three hundred sixteen patients with lung cancer underwent resection at our institution between 1995 and 2014. This timespan was divided into four 5-year periods. Each patient's age, Charlson comorbidity index score, and extent of surgery in each 5-year period were summarized, and the changes in these factors over the 20-year span were evaluated. The complication and mortality rates were calculated for each 5-year period, and the changes in those rates over the 20-years were evaluated. The number of patients with higher Charlson comorbidity index scores increased during the 20-year period. Of the 455 patients who developed complications, 97 developed life-threating complications. There were 16 post-operative deaths and 23 in-hospital deaths. There were no significant changes in the complication rate or mortality rate during the 20-year period. Both rates were significantly correlated with the extent of resection. Although the number of patients with comorbidities increased in the 20-year period, the post-operative complication and mortality rates, as well as in-hospital mortality, did not change significantly.
我们回顾了1995年至2014年的术后并发症和死亡率，并评估了这20年间这些比率的变化。1995年至2014年间，我院有2316例肺癌患者接受了切除术。这个时间段被分为四个5年时期。总结了每个患者在每个5年时期的年龄、查尔森合并症指数评分和手术范围，并评估了这些因素在20年期间的变化。计算了每个5年时期的并发症和死亡率，并评估了这些比率在20年期间的变化。在20年期间，查尔森合并症指数评分较高的患者数量有所增加。在出现并发症的455例患者中，97例出现了危及生命的并发症。术后死亡16例，住院死亡23例。在20年期间，并发症发生率和死亡率没有显著变化。这两个比率都与切除范围显著相关。尽管在20年期间合并症患者数量增加，但术后并发症和死亡率以及住院死亡率并没有显著变化。
