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Is age a risk factor for esophagectomy?

P R Fontes1, M Nectoux, A G Escobar

  • 1Surgical and Clinical Gastrointestinal Unit, Santa Casa Hospital and Fundação Faculdade Federal de Ciências Médicas de Porto Alegre, Brazil. prfontes@zaz.com.br

International Surgery
|March 29, 2002
PubMed
Summary

Elderly patients aged 65+ undergoing esophageal cancer surgery show similar outcomes to younger patients. Aggressive surgical approaches for esophageal cancer are safe and effective regardless of patient age.

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Area of Science:

  • Oncology
  • Geriatric Medicine
  • Surgical Gastroenterology

Background:

  • Increasing incidence of esophageal cancer in elderly patients.
  • Growing number of older adults undergoing esophagectomy.
  • Need to evaluate age as a factor in surgical outcomes.

Purpose of the Study:

  • To compare treatment and outcomes of esophagectomy in elderly versus younger esophageal cancer patients.
  • To determine if age impacts nutritional, pulmonary, staging, and mortality variables.
  • To assess the safety and efficacy of aggressive surgical approaches in older adults.

Main Methods:

  • Retrospective analysis of 37 patients aged 65+ undergoing esophagectomy and reconstruction.
  • Comparison with 162 patients younger than 65.

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  • Statistical analysis of nutritional, pulmonary, surgical staging, and mortality data.

    • Main Results:

    • No statistically significant differences were found between the elderly and younger groups in the analyzed variables.
    • Nutritional status, pulmonary function, surgical staging, and mortality rates were comparable.
    • Aggressive surgical treatment demonstrated similar safety profiles in both age groups.

    Conclusions:

    • Age should not preclude elderly patients (65+) from receiving aggressive surgical treatment for esophageal cancer.
    • Esophagectomy with reconstruction is a safe and viable option for older adults.
    • Outcomes and mortality rates are similar between elderly and younger patients undergoing this procedure.