title: Video-assisted thoracoscopic surgery for lung cancer in patients on hemodialysis.
abstract: OBJECTIVE
  Surgical treatment of lung cancer in patients receiving hemodialysis carries a high risk because of poor cardiac function and a fragile electrolyte balance. Because the number of patients receiving hemodialysis has increased, the proportion of such patients with lung cancer is expected to rise. However, few studies have examined the results of surgery for lung cancer in hemodialysis patients, especially by video-assisted thoracoscopic surgery (VATS).
  
  
  METHODS
  We conducted a retrospective analysis of 5 hemodialysis patients who underwent VATS for lung cancer.
  
  
  RESULTS
  All patients were men, and the mean age was 70.4 years. The operative procedure was lobectomy in 4 patients and segmentectomy in 1. During the perioperative period, none required urgent hemodialysis. There were no critical complications and in-hospital deaths. Three of the 5 patients are currently alive and recurrence-free. One patient died of recurrence at 4 month after surgery, and the other patient died at 17 months after surgery without cancer recurrence.
  
  
  CONCLUSIONS
  VATS appears to be a safe procedure for hemodialysis patients with lung cancer, and the long-term outcome is satisfactory.
authors.affiliation: Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji, Hyogo, Japan.
authors.forename: Katsunari
authors.initials: K
authors.lastname: Matsuoka
authors.forename: Ayumi
authors.initials: A
authors.lastname: Kuroda
authors.forename: Angyoung
authors.initials: A
authors.lastname: Kang
authors.forename: Naoko
authors.initials: N
authors.lastname: Imanishi
authors.forename: Shinjiro
authors.initials: S
authors.lastname: Nagai
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Ueda
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Miyamoto
mesh_terms: D000368:Aged; D018572:Disease-Free Survival; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D011183:Postoperative Complications / Q000209:etiology; D006435:Renal Dialysis / Q000009:adverse effects / Q000401:mortality; D012189:Retrospective Studies; D020775:Thoracic Surgery, Video-Assisted; D013997:Time Factors; D016896:Treatment Outcome