中国肺癌杂志2018，Vol.21Issue(2)：104-109,6.DOI:10.3779/j.issn.1009-3419.2018.02.08
不同胸外科医生主刀进行肺癌手术的患者生存差异分析
Effect of Thoracic Surgeons on Lung Cancer Patients' Survival
李宁 1牟巨伟 1高树庚 1赫捷 1谭锋维 1邱斌 1李嘉根 1赵峻 1高禹舜 1王大力 1毛友生 1薛奇1
作者信息
- 1. 100021 北京,国家癌症中心/中国医学科学院北京协和医学院肿瘤医院胸外科
- 折叠
摘要
Abstract
Background and objective Surgeons are the direct decision-makers and performers in the surgical treatment of patients with lung cancer. Whether the differences among doctors affect the survival of patients is unclear. This study analyzed the five-year survival rates of different thoracic surgeries in patients undergoing surgery to assess the physician's impact and impact. Methods A retrospective analysis of five years between 2002-2007 in the Department of Thoracic Surgery, Cancer Hospital, Chinese Academy of Medical Sci-ences, for surgical treatment of lung cancer patients. According to different surgeons grouping doctors to com-pare the basic information of patients, surgical methods, short-term results and long-term survival differences. Results A total of 712 patients treated by 11 experienced thoracic surgeons were included in this study. The patients have nosignificant difference with gender, age, smoking, pathological type between groups. There were significant differences in clinical staging, surgery type, operation time, blood transfusion rate, number of lymph node dissection, palliative resection rate, postoperative complications and perioperative mortality. There was a significant difference in five-year survival rates among patients treated by different doctors. This difference can be seen in all clinical stage analyzes with consistency. In the multivariate analysis, it was suggested that surgeon was an independent factor influencing the prognosis of patients. Conclusion Thoracic surgeon has a significant effect on the therapeutic effect of lung cancer patients.关键词
肺肿瘤/外科/手术/医生/预后Key words
Lung neoplasms/Surgery/Operation/Surgeon/Prognosis引用本文复制引用
李宁,牟巨伟,高树庚,赫捷,谭锋维,邱斌,李嘉根,赵峻,高禹舜,王大力,毛友生,薛奇..不同胸外科医生主刀进行肺癌手术的患者生存差异分析[J].中国肺癌杂志,2018,21(2):104-109,6.
