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[Lung resection in the elderly: some limits].

P Sardelli1, C Lopez, M Loizzi

  • 1Università degli Studi di Bari Cattedra di Chirurgia Toracica.

Annali Italiani Di Chirurgia
|December 18, 2003
PubMed
Summary
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Lung cancer surgery in patients over seventy shows significant survival rates. Cardiovascular complications are common, necessitating careful post-operative monitoring for elderly lung cancer patients.

Area of Science:

  • Thoracic Surgery
  • Geriatric Oncology
  • Surgical Oncology

Context:

  • Increasing life expectancy presents challenges in treating lung cancer in the elderly.
  • This study focuses on surgical outcomes for patients over seventy years old.

Purpose:

  • To evaluate the results of pulmonary resections in elderly patients (over 70) with non-small cell lung cancer (NSCLC).

Summary:

  • A retrospective analysis of 938 NSCLC patients operated between 1985-1995, including 189 over seventy and 19 over eighty.
  • Surgical procedures included pneumonectomies, lobectomies, wedge resections, and staging thoracotomies.
  • Key post-operative complications were cardiovascular (arrhythmia, ischemia), with 5 deaths among elderly patients. Two and five-year survival rates were 67.1% and 37.8%.

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Impact:

  • Highlights the need for tailored diagnostic and therapeutic approaches for elderly lung cancer patients.
  • Emphasizes the prevalence of cardiovascular complications in this age group, linked to surgical extent and blood loss.
  • Underscores the importance of vigilant post-operative monitoring to mitigate risks in elderly surgical patients.