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Analysis of prognosis of aged esophageal cancer patients after esophagectomy / 上海交通大学学报(医学版)
Article em Zh | WPRIM | ID: wpr-611625
Biblioteca responsável: WPRO
ABSTRACT
Objective·To investigate factors affecting the prognosis of aged esophageal cancer patients after esophagectomy.Methods·Clinical data of 103 aged patients (≥ 80 years old) undergoing esophageetomy were collected.Effects of age,sex,clinical manifestations,pre-operative diseases,post-operative complications,T stage,lymph node metastasis,maximum diameter and location of the tumor,and surgical methods on the post-operative survival were analyzed.Results·1,3,and 5 years survival rates of 103 patients were 63.2%,15.9%,and 2.7%,respectively.Kaplan-Meier survival curve analysis indicated that the post-operative survival was significantly higher in patients with T1 and T2 stages than in patients with T3 stage.The 3 and 5 y survival rates of patients with T 1 stage were 50% and 25%,respectively.Results of Cox regression multivariate analysis showed that T stage,maximum diameter of tumor,postoperative complications,and lymph node metastasis were independent factors affecting the post-operative survival.Conclusion·Esophageal cancer patients aged over 80 years with smaller tumor diameters,less postoperative complications,and negative lymph node metastasis have a longer post-operative survival period.Esophagectomy for patients with earlier stages (T1 and T2) can achieve an ideal post-operative survival period.
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Texto completo: 1 Índice: WPRIM Tipo de estudo: Prognostic_studies Idioma: Zh Revista: Journal of Shanghai Jiaotong University(Medical Science) Ano de publicação: 2017 Tipo de documento: Article
Texto completo: 1 Índice: WPRIM Tipo de estudo: Prognostic_studies Idioma: Zh Revista: Journal of Shanghai Jiaotong University(Medical Science) Ano de publicação: 2017 Tipo de documento: Article