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[Lung surgery in elderly patients, a retrospective study (1985-1994)]
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1996
Summary
Elderly patients over 70 undergoing thoracic surgery showed comparable survival rates for bronchial carcinoma compared to younger patients. However, the overall complication rate was high, primarily due to cardiac arrhythmias.
Area of Science:
- Thoracic Surgery
- Geriatric Medicine
- Oncology
Context:
- Between 1985 and 1994, 4,568 thoracic operations were performed.
- A subset of 234 patients (over 70 years old) were analyzed.
Purpose:
- To evaluate the outcomes of thoracic surgery in patients older than 70.
- To compare survival rates for bronchial carcinoma in elderly versus younger patients.
Summary:
- 144 patients had bronchial carcinomas, 25 had lung metastases, and others had various conditions like pneumothoraces and thymomas.
- Surgical procedures included anatomical resections, atypical wedge resections, and tumor exstirpations.
- Hospital lethality was 3.8%, with a 56% complication rate, predominantly cardiac arrhythmias.
Impact:
- Elderly patients with bronchial carcinoma experienced similar survival rates to younger counterparts.
- The study highlights the feasibility of thoracic surgery in older adults while underscoring the significant complication risks, particularly cardiac arrhythmias.