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Article in Japanese
Abstract
Original Article
Indications and outcomes of surgical treatment for elderly patients with nontuberculous mycobacterial lung disease
Katsuo Yamadaa,b Ayaka Makitab Ayuko Yasudab Yukio Sekib Masahiro Sanoc Mitsuaki Yagic Yuta Hayashic Taku Nakagawac Kenji Ogawac
aDepartment of Thoracic Surgery, National Hospital Organization Higashinagoya National Hospital
bDepartment of Thoracic Surgery, National Hospital Organization Nagoya Medical Center
cDepartment of Respiratory Medicine, National Hospital Organization Higashinagoya National Hospital
ABSTRACT
There are few reports referring to the indications and outcomes of surgery for nontuberculous mycobacterial lung disease (NTM-LD) in the elderly. We retrospectively reviewed 17 cases of NTM-LD in 16 patients aged 70 years and older who had undergone adjuvant surgical treatment. One segmentectomy, eight lobectomies, and eight extensive resections had been performed, and one patient had undergone a two-stage bilateral resection. Eight patients who had had respiratory symptoms preoperatively showed improvement in all cases postoperatively. There were no postoperative deaths, three (17.6%) postoperative complications, and two (11.8%) postoperative recurrences. If the patient can tolerate surgery, the indications for surgery are the same as for younger patients, and surgical treatment of NTM-LD in the elderly is safe and effective.
KEYWORDS
Nontuberculous mycobacterial lung disease (NTM-LD) Mycobacterium avium complex lung disease (MAC-LD) Elderly people Surgical treatment Surgical indication
Received 2 Feb 2021 ／ Accepted 17 Mar 2021
AJRS, 10(4): 323-329, 2021
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