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[Surgery for lung cancer in octogenarians]
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|June 10, 2000
Summary
Limited lung cancer surgery in octogenarians is feasible. This study found acceptable survival and complication rates for elderly patients undergoing resection, suggesting it
Area of Science:
- Thoracic Surgery
- Oncology
- Geriatric Medicine
Context:
- Lung cancer is a significant health concern in the elderly population.
- Surgical intervention in octogenarians presents unique challenges due to comorbidities and physiological changes.
Purpose:
- To evaluate the safety and efficacy of surgical resection for lung cancer in patients aged 80 years and older.
- To analyze operative outcomes, complication rates, and long-term survival following lung cancer surgery in octogenarians.
Summary:
- Twenty-five octogenarians with lung cancer underwent various resections (lobectomies, segmentectomies, wedge resections).
- The study reported low operative (8%) and hospital (4%) mortality rates.
- A 26% complication rate was observed, exclusively in lobectomy cases, with a 5-year survival of 47.4%.
Impact:
- Limited surgical procedures for lung cancer in octogenarians are considered acceptable.
- Findings support the consideration of surgical resection for carefully selected elderly lung cancer patients.
- Highlights the importance of tailored surgical approaches and risk assessment in geriatric oncology.