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Related Experiment Videos

VATS anatomic pulmonary resection in octogenarians.

Carie L McVay1, Allan Pickens, Clark Fuller

  • 1Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.

The American Surgeon
|February 14, 2006
PubMed
Summary

Surgical resection of lung cancer is safe for octogenarians. Video-assisted thoracic surgery (VATS) lobectomy in patients aged 80 and older showed low morbidity and mortality, with 82% experiencing no complications.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Geriatric Medicine

Background:

  • Advanced age is often considered a contraindication for lung cancer resection.
  • Modern anesthesia and surgical techniques have improved outcomes for pulmonary resection.

Purpose of the Study:

  • To evaluate the safety and efficacy of video-assisted thoracic surgery (VATS) lobectomy in octogenarian patients with lung cancer.
  • To determine if advanced age is a contraindication for surgical treatment of lung cancer.

Main Methods:

  • Retrospective review of 159 octogenarian patients undergoing VATS lobectomy between 1992 and 2004.
  • Analysis of patient demographics, operative procedures, complications, hospital stay, and follow-up data.

Main Results:

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  • The study included 159 patients with a mean age of 83 years.
  • VATS lobectomy was performed in 96% of patients, with a low conversion rate to thoracotomy (1%).
  • Complications occurred in 18% of patients, with arrhythmias being the most common (5%). Perioperative mortality was 1.8%.

Conclusions:

  • Age alone should not be considered a contraindication for surgical treatment of lung cancer in octogenarians.
  • VATS lobectomy is a safe and feasible option for lung cancer resection in elderly patients.