[ @entity2 surgery and XXXX .]

@entity1 @entity82 @entity99 @entity5 @entity2 @entity1578 @entity74 @entity204
INTRODUCTION: @entity2 is the leading cause of @entity204 by @entity5 and @entity82 is the fourteenth, all causes included. Surgery increases postoperative risks in cirrhotic @entity1 . Our purpose was to analyze this point in @entity2 surgery. METHODS: We collected, among 7162 @entity1 , the data concerning those operated for @entity2 (n=6105) and compared @entity1 with @entity99 (n=448) to those presenting other @entity74 (n=2587). We analyzed cirrhotic @entity1 ' characteristics (n=49). RESULTS: Five-year survival of @entity1 with @entity99 was lower (n=5657/6105): 35.3% versus 43.8% for @entity1 with no @entity99 , P=0.0021. Survival of cirrhotic @entity1 was not statistically different from the one of @entity1 with other @entity99 , but none survived beyond 10 years (0% versus 26.4%). Surgery in cirrhotic @entity1 consisted in one explorative thoracotomy, three wedges resections, two segmentectomies, 33 lobectomies and 10 pneumonectomies. Postoperative mortality (8.2%; 4/49) was not different for @entity1 without @entity99 (4.2%; 239/5657) (P=0.32), as well as the rate of complications (40.8%; 20/49 and 24.8%; 1404/5657, P=0.11). Only one postoperative @entity204 was associated to a @entity1578 . Multivariate analysis pointed age, histological subtype of the @entity5 and stage of disease as independent prognosis factors. CONCLUSION: When @entity82 is well compensated, surgical resection of @entity2 can be performed with acceptable postoperative morbidity and satisfactory rates of survival. Progressive potential of this disease is worse after five years.
