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Oesophageal resection in the elderly.

P Keeling1, P Gillen, T P Hennessy

  • 1Trinity College, Department of Surgery, St James's Hospital, Dublin.

Annals of the Royal College of Surgeons of England
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

Elderly patients over seventy undergoing transthoracic resection for esophageal or cardia cancer showed comparable outcomes to younger patients. Age is not a contraindication for this surgical procedure.

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Area of Science:

  • Oncology
  • Thoracic Surgery
  • Geriatric Medicine

Background:

  • Esophageal and cardia cancers are significant health concerns.
  • Surgical resection is a primary treatment modality.
  • The impact of advanced age on surgical outcomes requires careful evaluation.

Purpose of the Study:

  • To compare the outcomes of transthoracic resection for esophageal and cardia carcinoma in patients over seventy years of age versus those under seventy.
  • To determine if advanced age is a contraindication for this surgical procedure.

Main Methods:

  • A retrospective comparison of 76 patients over 70 years old with 179 patients under 70 years old.
  • Analysis of resectability rates, hospital mortality, postoperative complications, and survival rates.
  • Statistical analysis to determine the significance of differences between the age groups.

Main Results:

  • Resectability rates were high in both groups (89% over 70, 91% under 70).
  • Hospital mortality at 3 months was 21% in the elderly group and 14% in the younger group (not statistically significant).
  • Elderly patients had higher rates of pulmonary infection and cardiac arrhythmias, but hospital stay was similar; survival rates showed no significant difference.

Conclusions:

  • Advanced age alone is not a contraindication for transthoracic resection of esophageal and cardia carcinoma.
  • Surgical intervention can be considered for elderly patients with appropriate risk assessment.
  • Further research may explore specific management strategies to mitigate risks in elderly surgical candidates.