Smoking cessation and lung cancer resection
Smoking cessation and lung cancer resection
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DOI：
10.1378/chest.110.5.1199
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发表时间：
1996-11-01
期刊：
影响因子：
9.6
通讯作者：
Cooper, JD
中科院分区：
文献类型：
--
作者：
Dresler, CM;Bailey, M;Cooper, JD
研究目的：本研究的目的是检查的程度，戒烟开胸手术切除的肺部恶性肿瘤和复发率。设计：前瞻性，纵向study.Patients：ilk patients提出的一般Thoracic Clinic.Results：该研究包括382例患者，平均年龄为64.7岁，95%的吸烟史进行了随访，平均为17.5个月。同一实践组的5名外科医生进行了手术：肺切除术，45;肺叶切除术，288;和较小的切除术，29。42%的患者在1年前戒烟; 6%的患者在3个月至1年内戒烟; 15%的患者在2周至3个月内戒烟; 12%的患者在2周内戒烟; 19%的患者在手术前继续吸烟。术后，86%的既往吸烟患者不吸烟; 13%的患者再次开始吸烟。在重新开始吸烟的患者中，61%的患者在术前戒烟。只有59%的吸烟患者承认，医生曾经告诉他们停止吸烟，但是，89%的患者谁是吸烟术后承认医生的意见，以停止smoking.Conclusions：长期戒烟发生在很大比例的患者切除肺癌。患者术前不吸烟的时间越长，术后保持不吸烟的可能性就越大。相反，术前不戒烟的患者术后继续吸烟的风险很大。
Study objective: This study was designed to examine the extent of smoking cessation prior to thoracotomy for resection of a pulmonary malignancy and the recidivism rate.Design: Prospective, longitudinal study.Patients: ilk patients presenting to the General Thoracic Clinic.Results: The study included 382 patients, with an average age of 64.7 years; 95% with a smoking history were followed up for an average of 17.5 months. Five surgeons in the-same practice group performed the procedures: pneumonectomy, 45; lobectomy, 288; and lesser; resections, 29. Forty-two percent of patients had quit prior to I year; 6% quit 3 months to 1 year; 15% quit between 2 weeks to 3 months; 12% quit at 2 weeks; and 19% continued to smoke up to surgery, Postoperatively, 86% of previously smoking patients were nonsmoking; 13% of patients started smoking again. Of the restarted smoking patients, 61% had nel er quit preoperatively. Only 59% of smoking patients admitted that a physician had ever told them to stop smoking; however, 89% of patients who were smoking postoperatively acknowledged physician advice to stop smoking.Conclusions: Long-term smoking cessation occurs in a large proportion of patients after resection of lung cancer. The longer the patient is nonsmoking preoperatively, the more likely he or she is to remain nonsmoking postoperatively. Conversely, patients who do not quit preoperatively are at significant risk of continuing to smoke postoperatively.