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[Thoracic surgery in patients over 70].

P Morel, R Mégevand

    Schweizerische Medizinische Wochenschrift
    |September 24, 1983
    PubMed
    Summary

    Chest surgery in elderly patients over 70 is safe and effective. Procedures for lung and esophageal conditions, including cancer, show satisfactory outcomes and improved survival rates.

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    Area of Science:

    • Thoracic Surgery
    • Geriatric Medicine
    • Surgical Oncology

    Context:

    • Review of 88 patients aged over 70 undergoing thoracic surgery between 1976 and 1981.
    • Operations included 49 lung and 39 esophageal procedures, primarily for malignant tumors.
    • Average patient age was 75, with a predominantly male demographic.

    Purpose:

    • To evaluate the benefits and outcomes of thoracic surgery in the elderly population.
    • To assess the safety and efficacy of surgical interventions for malignant and benign thoracic conditions in older adults.
    • To determine long-term survival and quality of life post-surgery.

    Summary:

    • Lobectomy was the most common lung procedure; 12 pneumonectomies were performed.
    • Postoperative mortality was 10%, considered satisfactory.
    • Two-year survival without tumor recurrence was 50%; most patients resumed normal life.
    • Excellent results were observed for benign esophageal conditions like hiatus hernia and diverticula.

    Impact:

    • Demonstrates that thoracic surgery in elderly patients is well-tolerated and successful.
    • Highlights the potential for improved survival and quality of life through surgical intervention for thoracic cancers in older individuals.
    • Provides evidence supporting the consideration of aggressive surgical treatment for selected elderly patients with thoracic diseases.

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