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P. Balakrishnan



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    P1.03 - Poster Session with Presenters Present (ID 455)

    • Event: WCLC 2016
    • Type: Poster Presenters Present
    • Track: Radiology/Staging/Screening
    • Presentations: 1
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      P1.03-083 - Advances in Surgical Staging of NSCLC (ID 5796)

      14:30 - 15:45  |  Author(s): P. Balakrishnan

      • Abstract

      Background:
      Staging of mediastinal lymph nodes in NSCLC defines the extent of thoracic malignancies & the disease process . It is based on the American Joint Committee for Cancer (AJCC) , TNM staging system , which describes the best anatomic extent of the disease . This defines operability & surgical resectibility , neoadjuvant therapy & prediciting prognostic survivability .

      Methods:
      A well-conducted literacture search & review undertaken . All papers or studies in the last 10 years were identified and studied .

      Results:
      Surgical & non-surgical staging methods were identified , compared and analysed for their sensitivity & specificity . Size , location & characteristics of tumour , local invasion or extension , lymphadenopathy & metastatic disease spread were identified as parameters .

      Conclusion:
      Early accurate staging improves overall outcomes if therapeutic interventions are well-organised & excuted in a timely fashion . Careful selection of staging methods is crucial .

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    P1.05 - Poster Session with Presenters Present (ID 457)

    • Event: WCLC 2016
    • Type: Poster Presenters Present
    • Track: Early Stage NSCLC
    • Presentations: 1
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      P1.05-079 - Lung Cancer in the Elderly: Factors Affecting Long-Term Survival Following Resection (ID 5802)

      14:30 - 15:45  |  Author(s): P. Balakrishnan

      • Abstract

      Background:
      Lung Cancer remains the most common cancer in the world . It has progressively become a disease of older people , with the median age at diagnosis now exceeding 65 years . As population grows older demographically , it poses various distinct treatment & management challenges . Thus , we looked into factors associated with long-term survival following pulmonary resections for lung cancer in the elderly patients 70 years or older

      Methods:
      All medical records for these elderly patients with lung cancer who under went pulmonary resections , between years 2000 to 2010 , were reviewed . These data was cross-referenced & checked with the operating theatre ORSOS & national mortality data .

      Results:
      Patients were stratified into various groups . Gender , Median age at diagnosis , patient characteristics , assocciated medical co-morbidities , Pre-operative lung functions tests , extend of pulmonary resections & overall 1 , 2 & 5 years survival was calculated

      Conclusion:
      Stringent & proper selection criterias in elderly patient with lung cancer undergoing pulmonary resections will identify groups of patients that will benefit from these surgeries . Thus , identifying these elderly sub-groups will give new lease of life in survivability following pulmonary resections for lung cancer .

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    P1.06 - Poster Session with Presenters Present (ID 458)

    • Event: WCLC 2016
    • Type: Poster Presenters Present
    • Track: Advanced NSCLC
    • Presentations: 1
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      P1.06-034 - Outcomes after Pulmonary Metastasectomy for Metastatic Cancer (ID 5789)

      14:30 - 15:45  |  Author(s): P. Balakrishnan

      • Abstract

      Background:
      In most malignant diseases , the ability to constantly metastasize remains a truly challenging obstacle in cancer patients . Historically in the past , any local surgical treatment in patients with systemic malignant disease is considered without any prognostic benefit , this has since evolved with many studies confering huge success rates with excellent prognostic benefits . We hereby report our experience over the last 10 years at Wellington Regional Hospital , Cardiothoracic unit .

      Methods:
      A retrospective study was undertaken in series of patients with colorectal , melanoma , breast , sarcoma & renal metastatic disease undergoing pulmonary metastasectomy , from year 2000 to 2010 . These data was identified & stratified into groups using hospital patient database & ORSOS theatre database with the aid of Excel spreadsheet .

      Results:
      All these patients were operated on either – unilateral versus bilateral , VATS or thoracotomies with or without lymph node dssection as well as repeat surgeries . The role of metastatectomy in their treatment options & the prognostic factors with impact on survival discussed .

      Conclusion:
      In carefully selected surgical patients , pulmonary metastasectomy for metastatic diseases confers continual prognostic & survival advantage for these patients .