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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:

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Updated: May 13, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
11:17

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

Published on: February 27, 2026

Surgery for elderly lung cancer.

Hung-Chang Liu1, Wen-Chien Huang, Chien-Liang Wu

  • 1Division of Thoracic Surgery, Mackay Memorial Hospital, Taipei, Taiwan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|March 1, 2013
PubMed
Summary
This summary is machine-generated.

Elderly patients (≥75 years) undergoing non-small cell lung cancer (NSCLC) surgery had higher complication rates but better disease-related and progression-free survival. Age alone should not contraindicate pulmonary resection for fit elderly patients.

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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
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Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

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Area of Science:

  • Thoracic Surgery
  • Oncology
  • Geriatric Medicine

Background:

  • Controversies exist regarding the surgical benefits for elderly lung cancer patients.
  • Assessing the impact of aging on non-small cell lung cancer (NSCLC) outcomes after pulmonary resection is crucial.

Purpose of the Study:

  • To evaluate the surgical outcomes of elderly patients undergoing pulmonary resection for NSCLC.
  • To compare perioperative characteristics, complications, and survival rates between elderly and younger NSCLC patients.

Main Methods:

  • Retrospective study of 442 patients who underwent pulmonary resection for NSCLC with curative intent (1998-2008).
  • Patients were divided into two groups: Group 1 (≥75 years) and Group 2 (<75 years).
  • Comparison of perioperative data, hospital course, morbidities, mortality, and survival between the groups.

Main Results:

  • Elderly patients (Group 1) experienced longer hospital stays (17.8 vs. 8.9 days), higher mortality (8.2% vs. 2.2%), and increased morbidity (26.0% vs. 13.3%), primarily cardiopulmonary-related.
  • Despite higher complication rates, elderly patients showed significantly better disease-related survival (28.3 vs. 20.2 months) and progression-free survival (25.0 vs. 12.2 months).
  • Tumor stage significantly influenced survival, irrespective of age.

Conclusions:

  • Pulmonary resection for NSCLC in elderly patients leads to more complications, particularly cardiopulmonary issues.
  • Elderly patients may achieve longer disease control and better survival outcomes post-surgery.
  • Physical fitness, not age alone, should determine eligibility for pulmonary resection in elderly NSCLC patients.