Author(s)

Chie Ushijima¹, Koji Yamazaki¹, Hidenori Kouso¹, Masakazu Katsura¹, Ryo Mori¹, Sadanori Takeo¹, Kensuke Ishikawa²

¹Department of General Thoracic Surgery and Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
²Department of Psychiatry, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.

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.

Lung Cancer Surgery, Psychiatric Disorder, Surgery, Incisions, Exposure, Techniques

Ushijima, C. , Yamazaki, K. , Kouso, H. , Katsura, M. , Mori, R. , Takeo, S. and Ishikawa, K. (2016) Surgical Treatment of Lung Cancer in Patients with Psychiatric Disorders: A Retrospective Study. Journal of Cancer Therapy, 7, 553-557. doi: 10.4236/jct.2016.78058.