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[Lung surgery in patients over 70 years].
L Moggi1, G Giustozzi, C Boselli
1Istituto di Clinica Chirurgica Generale, Università degli Studi di Perugia.
Minerva Chirurgica
|September 15, 1991
Summary
Thoracic surgery is feasible in patients over 70 with lung cancer, with a low mortality rate of 4.25%. This study highlights the possibility of successful surgical intervention and provides diagnostic and therapeutic guidelines for this patient group.
Area of Science:
- Cardiothoracic Surgery
- Oncology
- Geriatric Medicine
Context:
- Lung cancer is a prevalent disease, particularly in aging populations.
- Surgical intervention in elderly patients (over 70) presents unique challenges and risks.
- Evaluating the safety and efficacy of thoracic surgery in this demographic is crucial.
Purpose:
- To assess the feasibility and outcomes of thoracic surgery for lung cancer in patients aged 70 and above.
- To analyze the types of surgical procedures performed and their associated mortality rates.
- To establish diagnostic and therapeutic guidelines for managing lung cancer in elderly patients.
Summary:
- Forty-seven patients over 70 underwent thoracic surgery for lung cancer between 1984 and 1988.
- Procedures included 34 lobectomies, 11 pneumonectomies, and 4 wedge resections.
- The study reports a low mortality rate of 4.25% (2 patients) and a significant number of long-term survivors.
Impact:
- Demonstrates that advanced age is not an absolute contraindication for lung cancer surgery.
- Provides evidence supporting the safety and effectiveness of thoracic procedures in the elderly.
- Offers valuable insights for developing clinical guidelines for geriatric thoracic oncology patients.