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Title: Long-term survival after surgical resection for lung cancer in a regional centre: a 13-year experience.
Author: Ross, James
Liao, Henry
Langmaid, Rebecca
Lior, Tali
Lowe, Andrew
Wright, Gavin
Stewart, Bruce
Issue Date: 2017
Conference Name: 27th Annual Congress of the Association of Thoracic and Cardiovascular Surgeons of Asia.
Conference Date: November 16-19
Conference Place: Melbourne, Australia
Abstract: Lung cancer is the fifth most common cancer in Australia and the most common cause of cancer-related mortality, with a 5-year survival rate of 14%. Surgery for early-stage disease is the mainstay of curative treatment and, owing to improvements in staging and perioperative surgical management, long-term survival rates of >70% are widely reported. Lung surgery is primarily performed by cardiothoracic surgeons in Australia, although many of the surgical techniques, particularly in the era of minimally invasive surgery, have more in common with abdominal laparoscopic surgery than with modern cardiac procedures. This study reports the perioperative mortality and long-term survival of patients with non-small-cell lung cancer (NSCLC) in the Ballarat region operated on by two general surgeons with a specific interest in thoracic surgery over a 13-year period ( n = 91). Survival data were benchmarked against outcomes from St Vincent's Hospital thoracic unit, Melbourne, over the same time frame ( n = 709). Kaplan–Meier curves were employed to compare the outcomes between the two facilities. No statistically significant difference could be identified when comparing 5-year disease-free survival (60%), cancer-specific survival (76%), or overall survival (65%) for stage 1 and 2 NSCLC. These data suggest that appropriately trained general surgeons can perform NSCLC surgery in selected institutions with full intensive care unit support, where a strong mentor relationship exits with a cardiothoracic unit. This allows the treatment of these often frail and elderly patients in their own community, without detriment to their survival.
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Internal ID Number: 01345
Type: Conference
Appears in Collections:Research Output

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