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Updated: Jun 4, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Published on: February 27, 2026

Emergency thoracic surgery in elderly patients.

Stefan Limmer¹, Lena Unger, Ralf Czymek

¹University Hospital of Schleswig-Holstein, Campus Luebeck, Department of Surgery , Ratzeburger Allee 160, D-23538 Luebeck , Germany.

JRSM Short Reports

|March 4, 2011

Summary

Emergency thoracic surgery in elderly patients has a high mortality rate of 25%. Sepsis was the primary indication, and co-morbidities significantly impacted outcomes and length of stay.

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Last Updated: Jun 4, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Published on: February 27, 2026

Area of Science:

Thoracic Surgery
Geriatric Medicine
Surgical Outcomes

Background:

Emergency thoracic surgery in elderly patients presents unique challenges due to emergent conditions and pre-existing comorbidities.
These factors contribute to increased morbidity and mortality in this vulnerable population.
Optimizing patient condition is often impossible in emergency settings.

Purpose of the Study:

To evaluate the outcomes of emergency thoracic surgery in patients aged 65 and older.
To identify prognostic factors influencing mortality and morbidity in this patient group.

Main Methods:

Retrospective chart review conducted at an academic tertiary care referral center.
Analysis of data from emergency thoracic surgery patients at the University Hospital of Luebeck, Germany.
Key outcome measures included co-morbidities, mortality rates, identified risk factors, and hospital length of stay.

Main Results:

A total of 124 procedures were performed on 114 elderly patients (average age 72.5 years).
The overall operative mortality rate was 25.4%.
Thoracic/mediastinal infection was the most frequent indication, followed by peri- or postoperative complications. High ASA score, diabetes mellitus, and renal insufficiency were identified as risk factors for mortality.

Conclusions:

Emergency thoracic surgery in patients over 65 is associated with a significant perioperative mortality rate of approximately 25%.
Sepsis with a thoracic/mediastinal focus was the primary indication for surgery.
Pre-existing co-morbidities significantly influence inpatient length of stay and patient outcomes, with conditions like diabetes mellitus substantially increasing mortality risk.