Fylgikvillar blaðnámsaðgerða við lungnakrabbameini á Íslandi 1999-2008
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) OBJECTIVE: Non small cell lung cancer (NSCLC) is the second most common cancer in Iceland. We studied the indications and surgical outcome of lobectomy for NSCLC in Iceland. MATERIALS AND MET...
Main Authors: | , , , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | Icelandic |
Published: |
Læknafélag Íslands, Læknafélag Reykjavíkur
2010
|
Subjects: | |
Online Access: | http://hdl.handle.net/2336/99088 |
id |
ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/99088 |
---|---|
record_format |
openpolar |
spelling |
ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/99088 2023-05-15T16:46:36+02:00 Fylgikvillar blaðnámsaðgerða við lungnakrabbameini á Íslandi 1999-2008 Postoperative complications following lobectomy for lung cancer in Iceland during 1999-2008 Rut Skúladóttir Gudrún Nína Óskarsdóttir Helgi J. Ísaksson Steinn Jónsson Húnbogi Þorsteinsson Tómas Guðbjartsson 2010-05-18 http://hdl.handle.net/2336/99088 ice is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 2010, 96(4):243-9 0023-7213 20339163 http://hdl.handle.net/2336/99088 Læknablaðið Lungnakrabbamein Adenocarcinoma Adult Aged 80 and over Carcinoma Non-Small-Cell Lung Squamous Cell Female Humans Iceland Length of Stay Logistic Models Lung Neoplasms Male Mediastinoscopy Middle Aged Neoplasm Staging Outcome and Process Assessment (Health Care) Pneumonectomy Postoperative Complications Reoperation Risk Assessment Risk Factors Time Factors Treatment Outcome Article 2010 ftlandspitaliuni 2022-05-29T08:21:32Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) OBJECTIVE: Non small cell lung cancer (NSCLC) is the second most common cancer in Iceland. We studied the indications and surgical outcome of lobectomy for NSCLC in Iceland. MATERIALS AND METHODS: 213 consecutive patients underwent lobectomy for NSCLC between 1999 and 2008. Data on indications, histology, TNM-stage and complications were analysed, and logistic regression used to assess outcome predictors. RESULTS: The majority of patients (60%) were referred because of symptoms, whereas 40% were asymptomatic. Adenocarcinoma (62%) and squamous cell carcinoma (29%) were the most frequent histological types. Operative staging showed that 59.6% of cases were stage I, 17.8% were stage II, 7% were stage IIIA and 14.6% were stage IIIB or IV. Mediastinoscopy was performed in 13.6% of cases. Mean operative time was 128 min., operative bleeding 580 ml and median hospital stay 10 days. Sixteen patients (7.5%) had major complications and 36 (17.5%) had minor complications, such as atrial fibrillation and pneumonia. Twelve patients required reoperation, most often due to bleeding, but two had empyema and one had a bronchopleural fistula. Older patients with high ASA scores and extensive smoking history were at increased risk for complications. No patient died within 30 days of surgery whereas two (0,9%) died within 90 days of surgery. CONCLUSIONS: The results of lobectomy for NSCLC in Iceland are excellent in relation to operative mortality and short term complications. Inngangur: Lungnakrabbamein er annað algengasta krabbamein á Íslandi og það sem dregur flesta til dauða. Skurðaðgerð er helsta meðferðin og langoftast er beitt blaðnámi. Markmið þessarar rannsóknar var að kanna ábendingar og snemmkomna fylgikvilla blaðnáms á Íslandi. Efniviður og aðferðir: 213 sjúklingar sem gengust undir blaðnám vegna lungnakrabbameins á árunum 1999-2008. Kannaðar voru ábendingar, fylgikvillar, æxlisgerð og TNM-stigun. ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive TNM ENVELOPE(-58.100,-58.100,-62.000,-62.000) Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Lungnakrabbamein Adenocarcinoma Adult Aged 80 and over Carcinoma Non-Small-Cell Lung Squamous Cell Female Humans Iceland Length of Stay Logistic Models Lung Neoplasms Male Mediastinoscopy Middle Aged Neoplasm Staging Outcome and Process Assessment (Health Care) Pneumonectomy Postoperative Complications Reoperation Risk Assessment Risk Factors Time Factors Treatment Outcome |
spellingShingle |
Lungnakrabbamein Adenocarcinoma Adult Aged 80 and over Carcinoma Non-Small-Cell Lung Squamous Cell Female Humans Iceland Length of Stay Logistic Models Lung Neoplasms Male Mediastinoscopy Middle Aged Neoplasm Staging Outcome and Process Assessment (Health Care) Pneumonectomy Postoperative Complications Reoperation Risk Assessment Risk Factors Time Factors Treatment Outcome Rut Skúladóttir Gudrún Nína Óskarsdóttir Helgi J. Ísaksson Steinn Jónsson Húnbogi Þorsteinsson Tómas Guðbjartsson Fylgikvillar blaðnámsaðgerða við lungnakrabbameini á Íslandi 1999-2008 |
topic_facet |
Lungnakrabbamein Adenocarcinoma Adult Aged 80 and over Carcinoma Non-Small-Cell Lung Squamous Cell Female Humans Iceland Length of Stay Logistic Models Lung Neoplasms Male Mediastinoscopy Middle Aged Neoplasm Staging Outcome and Process Assessment (Health Care) Pneumonectomy Postoperative Complications Reoperation Risk Assessment Risk Factors Time Factors Treatment Outcome |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) OBJECTIVE: Non small cell lung cancer (NSCLC) is the second most common cancer in Iceland. We studied the indications and surgical outcome of lobectomy for NSCLC in Iceland. MATERIALS AND METHODS: 213 consecutive patients underwent lobectomy for NSCLC between 1999 and 2008. Data on indications, histology, TNM-stage and complications were analysed, and logistic regression used to assess outcome predictors. RESULTS: The majority of patients (60%) were referred because of symptoms, whereas 40% were asymptomatic. Adenocarcinoma (62%) and squamous cell carcinoma (29%) were the most frequent histological types. Operative staging showed that 59.6% of cases were stage I, 17.8% were stage II, 7% were stage IIIA and 14.6% were stage IIIB or IV. Mediastinoscopy was performed in 13.6% of cases. Mean operative time was 128 min., operative bleeding 580 ml and median hospital stay 10 days. Sixteen patients (7.5%) had major complications and 36 (17.5%) had minor complications, such as atrial fibrillation and pneumonia. Twelve patients required reoperation, most often due to bleeding, but two had empyema and one had a bronchopleural fistula. Older patients with high ASA scores and extensive smoking history were at increased risk for complications. No patient died within 30 days of surgery whereas two (0,9%) died within 90 days of surgery. CONCLUSIONS: The results of lobectomy for NSCLC in Iceland are excellent in relation to operative mortality and short term complications. Inngangur: Lungnakrabbamein er annað algengasta krabbamein á Íslandi og það sem dregur flesta til dauða. Skurðaðgerð er helsta meðferðin og langoftast er beitt blaðnámi. Markmið þessarar rannsóknar var að kanna ábendingar og snemmkomna fylgikvilla blaðnáms á Íslandi. Efniviður og aðferðir: 213 sjúklingar sem gengust undir blaðnám vegna lungnakrabbameins á árunum 1999-2008. Kannaðar voru ábendingar, fylgikvillar, æxlisgerð og TNM-stigun. ... |
format |
Article in Journal/Newspaper |
author |
Rut Skúladóttir Gudrún Nína Óskarsdóttir Helgi J. Ísaksson Steinn Jónsson Húnbogi Þorsteinsson Tómas Guðbjartsson |
author_facet |
Rut Skúladóttir Gudrún Nína Óskarsdóttir Helgi J. Ísaksson Steinn Jónsson Húnbogi Þorsteinsson Tómas Guðbjartsson |
author_sort |
Rut Skúladóttir |
title |
Fylgikvillar blaðnámsaðgerða við lungnakrabbameini á Íslandi 1999-2008 |
title_short |
Fylgikvillar blaðnámsaðgerða við lungnakrabbameini á Íslandi 1999-2008 |
title_full |
Fylgikvillar blaðnámsaðgerða við lungnakrabbameini á Íslandi 1999-2008 |
title_fullStr |
Fylgikvillar blaðnámsaðgerða við lungnakrabbameini á Íslandi 1999-2008 |
title_full_unstemmed |
Fylgikvillar blaðnámsaðgerða við lungnakrabbameini á Íslandi 1999-2008 |
title_sort |
fylgikvillar blaðnámsaðgerða við lungnakrabbameini á íslandi 1999-2008 |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2010 |
url |
http://hdl.handle.net/2336/99088 |
long_lat |
ENVELOPE(-58.100,-58.100,-62.000,-62.000) ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
TNM Smella |
geographic_facet |
TNM Smella |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 2010, 96(4):243-9 0023-7213 20339163 http://hdl.handle.net/2336/99088 Læknablaðið |
_version_ |
1766036702626840576 |