Interne Qualitätskontrolle bei an einem Bronchialkarzinom operierten Patienten der Chirurgischen Klinik I des Klinikum Ingolstadt von 1985 bis 1994

In this study the results of surgically resected lung cancer at the
Chirurgische Klinik I at Klinikum Ingolstadt from 1985 to 1994 were
critically examined. Overall there were 120 patients, 95 men and 25
women, who were included to determine the 5-year sur-vival. At
stage I 64% survived 5 years, at stage II only 20%. We were able to
show that the size of the carcinoma and the nodal status were also
independent variables, too. There was also an influence of the kind
of resection and the R-classification on the results. Survival was
not dependent on the histological type nor on the grade of
diffe-rentiation. Comparing men with women there was no difference
concerning age, distribution of tumour and stage, health status,
the kind of examinations preoperative, postoperative complications,
adjuvante therapy, cause of death. Squamous cell carcinoma were
most frequent in men whereas in women it was adenocarcinoma. More
man had smoked and suffered from symptoms more often. Over all
histological types and all stages the 25 women had a significantly
higher 5-year survival rate of 60% in comparison with 31% for all
95 men. Examining the quality of life we were able to show that the
patient’s activity is connec-ted with the personal well being
independent from other variables. The stage and occur-rence of
metastasis have an influence on a patient’s quality of life. Under
the following patients there are more physically active and feel
better then the others: Patients who have a tumour stage 0 to II
and only as well being is concerned patients without occur-rence of
metastasis. Moreover we examined several symptoms, health status,
factors of risk, R- classification, surgical approach, pre- and
postoperative complications, perioperative mortality. Symptoms were
dependent from the location of the tumour and its stage. There was
no influence of the health status and factors of risk on
postoperative complications. However if a complication occurred
preoperative there was a higher risk to get a com-plication
postoperative. There was also a higher risk to suffer from
pneumonia postope-rative if a patient already had a pneumonia or an
atelectasis preoperative. We had a 23% complication rate and a 9%
mortality rate.