TITLE:
Surgical Treatment of Lung Cancer in Patients with Psychiatric Disorders: A Retrospective Study
AUTHORS:
Chie Ushijima, Koji Yamazaki, Hidenori Kouso, Masakazu Katsura, Ryo Mori, Sadanori Takeo, Kensuke Ishikawa
KEYWORDS:
Lung Cancer Surgery, Psychiatric Disorder, Surgery, Incisions, Exposure, Techniques
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.7 No.8,
August
4,
2016
ABSTRACT: Background: The purpose of this retrospective study was to examine the clinical
outcomes of patients with concomitant lung cancer and psychiatric disorders who
underwent pulmonary resection at our institution and develop a strategy for
treating such patients in the future. Methods:
We retrospectively reviewed 23 patients with psychiatric disorders who
underwent pulmonary resection for lung cancer at our institution between
January 1984 and December 2011. Results:
The study population comprised 13 men and 10 women with an average age of 67.4
years. The histological types of lung cancer included adenocarcinoma in 14
patients, squamous cell carcinoma in 4, and other types in 5. Fifteen patients
were classified as having pathological TNM stage I cancer, four as having stage
II, three as having stage III, and one as having stage IV. The coexisting psychiatric
disorders were neurosis in eight patients, depression in seven, schizophrenia
in five, dementia in two, and oligophrenia in one. Three patients were admitted
without a full understanding of the operation. There were no major
complications with the exception of delirium, which was seen in eight patients.
None of these patients’ coexisting psychiatric disorders worsened. No perioperative
death occurred. Conclusions: At our
institution, we cooperate closely with psychiatrists to care for surgical
patients with psychiatric disorders. There is a possibility that such
cooperation will reduce the frequency of previously reported complications.