|
Author | Years of enrollment | | Approach (T, V, R) | Resection(s) included (W, S, L, B, P) | Age | Clinical stages included | Pathologic stage | Complication rate (% overall), severe | Predictors of increased complications ( values) | 30-day perioperative mortaiity (%) | 5-year survival
| Predictors of poor survival ( value) |
|
Port et al. [9] | 1998–2009 | 121 | V = 40 T = 81 | L | ≥80 (median 82) | — | I 65.3% II 25.0% III 10.0% | 53.7%, 28.9% severe requiring significant intervention | Thoracotomy (63%) versus VATS (35%) = 0.004 | 1.7% | 56.6% By stage: I = 69.6% II = 35.6% III = 18.2% | Pathologic stage Ib or greater ( = 0.050) |
|
Hanagiri et al. [18]
| 1992–1995 | 18 | T | S, L, W | ≥80 (mean, 82.1) | IA 6 IB 6 IIB 1 IIIA 5 | IA 4 IB 5 IIB 4 IIIA 1 IIIB 4 | 50% | — | 0% | — | — |
|
Aoki et al. [7] | 1981–1998 | 35 | — | W or S 10 L 25
| ≥80 (mean 81.2) | IA 14 IB 10 IIA 0 IIB 5 IIIA 5 IIIB 1 | — | 60% | — | 0% | 39.8% | — |
|
Pagni et al. [8] | 1980–1995 | 54 | T | W 3 S 3 L 43 B 2 P 1 chest wall 1 sleeve 1
| ≥80
| I II IIIA | — | 42%, 11% | — | 3.7% | 43% | >stage I ( value not given) |
|
Clavien et al. [19] | 2000–2009 | 191 | V 77% T
| W 77 S 13 L 96 P 3 | ≥80 (median 82) | — | I 56% II 10% III 9% IV 3% | 46% | Resection greater than wedge ( = 0.0064), thoracotomy as approach ( = 0.034), % predicted FEV1 for ea 10% decrement ( = 0.01) | 3.6% | 3-year stage I (109 patients) 56% | — |
|
Umezu et al. [10]
| 2001–2008 | 44 | | | ≥80 (mean 82) | | | 65.9% | | 2.3% | 54.5% | |
|
Okada et al. [17]
| | 44 | | | ≥80 (mean 81.8) | | | 20% | | 0 | 44.9% | |
|
Okami et al. [11] | 1999 | 367 | — | W 80 S 42 L 245
| 80–90 (mean 82) | I | I 300 II 44 III 23 | 8.4% | Comorbidity and mediastinal lymph node dissection | 1.4% | 56.1% | Advanced pathologic stage and comorbidity |
|
Chida et al. [16] | 1981–2006 | 48 | — | S 3 L 45 P 2 | ≥80 (mean 81.7) | I 36 II 3 III 9 | I 30 II 8 III 10 | 68.8% | Mediastinal LN dissection ( = 0.004) | — | 35% | Med LN dissection ( = 0.022) |
|
Suemitsu et al. [15] | 1981–2006 | 146 | — | W 38 (26%) S 17 (11.6%) L 79 (54.1%) B 7 (4.8%) P 1 (0.7%) Explorations 4 (2.7%) | ≥80 (mean 82.6) | I 109 (74.7%) II 14 (9.6%) III 22 (15.1%) IV 1 (0.7%) | I 94 (64.3%) II 16 (11.0%) III 31 (21.2%) IV 5 (3.5%) | — | — | — | 46.8% | — |
|
Mun and Kohno [14] | 1999–2006 | 55 | V | W 10 (18.2%) S 7 (12.7%) L 37 (67.3%) B 1 (1.8%)
| 80–89 (mean 82.7) | IA 32 IB 23 | I 44 II 6 III 5 | 25.6% | — | 3.6% | 65.9% | — |
|
Ikeda et al. [13] | 1981–2002 | 73 | V and T | L 45 (62%) B 2 (2.7%) S 6 (8.2%) W 20 (27%) | 80–89 (mean 83) | I 60 II 10 IIIA 3 | I 55 (74.3%) II 8 (11%) IIIA 5 (6.8%) IIIB 4 (5.5%) IV 1 (1.4%) | 37% | — | 4.1% | 47% | Pathologic stage III compared to II ( = 0.02) |
|
Matsuoka et al. [12] | 1997–2004 | 40 | 85% Muscle sparing PLT/VATS, 15% standard PLT | W 30% S 30% L 40%
| 80–89 | — | IA 52.5% iB 35.5% IIA 0 IIB 7.5% IIIA 5% | 20% | — | 0% | 56.9% | — |
|
Current Study | 2004–2012 | 45 | T 59% V 26% R 26% | L | ≥80 (mean 82)
| IA 51% IB 21% IIA 11% IIB 2.2% IIIA 11%
| IA 26% IB 33% IIA 8% IIB 8% IIIA 18% IIIB 3% IV 5% | 62%, 17% | — | 2% | 52% | — |
|