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.
Highlights
The number of patients with psychiatric disorders who consult a psychiatrist is increasing in Japan [1]
Few reports have assessed the surgical outcomes in surgical patients with psychiatric disorders, especially in patients with lung cancer [11]
We conducted this study to analyze the clinical outcomes of lung cancer surgery in patients with psychiatric disorders and present a strategy for treating these patients
Summary
The number of patients with psychiatric disorders who consult a psychiatrist is increasing in Japan [1]. We need to monitor these patients intensively for early detection of these complications, and we try to deal with early phase. Despite this requirement, few reports have assessed the surgical outcomes in surgical patients with psychiatric disorders, especially in patients with lung cancer [11]. We conducted this study to analyze the clinical outcomes of lung cancer surgery in patients with psychiatric disorders and present a strategy for treating these patients. 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. There were no major complications with the exception of delirium, which was seen in eight patients None of these patients’ coexisting psychiatric disorders worsened. There is a possibility that such cooperation will reduce the frequency of previously reported complications
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