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Patterns of Surgical Care of Lung Cancer Patients

The Annals of Thoracic Surgery · 2005 · Vol. 80(6) · pp. 2051–2056

Alex G. Little✉(Wright State University)Valerie W. Rusch(Memorial Sloan Kettering Cancer Center)James A. Bonner(University of Alabama at Birmingham)Laurie E. Gaspar(University of Colorado Health)Mark R. Green(MUSC Hollings Cancer Center)W. Richard Webb(University of California, San Francisco)Andrew K. Stewart(American College of Surgeons)

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Abstract

(1) Patients being operated for NSCLC are elderly with significant comorbid conditions. (2) More patients than previously are female and have adenocarcinoma. (3) Mediastinoscopy is infrequently performed and lymph nodes are biopsied in less than 50% of them. (4) Lobectomy is the most common operation, and positive surgical margins are too frequent. (5) Operative mortality is reasonable but transfusion is a marker for increased risk and outcomes are superior in high-volume hospitals. (6) Hospitals with higher volume had fewer perioperative deaths.

Lung Cancer Diagnosis and Treatment Lung Cancer Treatments and Mutations Cancer Diagnosis and TreatmentMedicineMediastinoscopyPneumonectomyAdenocarcinomaStage (stratigraphy)PerioperativeSurgeryLung cancerWedge resectionCancer