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[Lung resections for cancer in the elderly]

M Loizzi1, P Sardelli, F Sollitto

  • 1Cattedra di Chirurgia Toracica, Università degli Studi, Bari.

Minerva Chirurgica
|October 17, 1998
PubMed
Summary

Surgical resection for lung cancer is valuable in elderly patients, showing comparable survival rates to younger individuals. Preoperative conditions require careful management to minimize postoperative risks in older adults.

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Area of Science:

  • Thoracic Surgery
  • Geriatric Oncology
  • Pulmonary Medicine

Context:

  • Lung cancer treatment decisions in elderly patients are complex.
  • Surgical intervention for lung cancer in older adults requires careful risk-benefit assessment.
  • Comparing outcomes in elderly versus younger surgical patients provides valuable insights.

Purpose:

  • To evaluate the efficacy and safety of surgical resection for lung cancer in patients aged 70 years and older.
  • To compare the survival rates and outcomes of elderly lung cancer patients with those of younger patients undergoing similar procedures.
  • To determine if advanced age is a contraindication for curative pulmonary resections.

Summary:

  • A study compared 137 elderly patients (≥70 years) with 561 younger patients undergoing lung cancer surgery between 1985-1990.

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  • Overall 2-year survival rates were 64.6% in the elderly group and 61.4% in the younger group.
  • Five-year survival rates were 36.2% for the elderly and 43.2% for the younger cohort, suggesting comparable outcomes.

    • Impact:

    • Advanced age alone should not preclude patients from receiving curative pulmonary resections for lung cancer.
    • Identifying and managing preoperative comorbidities in elderly patients is crucial for reducing postoperative complications.
    • This research supports the consideration of surgical options for lung cancer in the elderly population, emphasizing personalized risk assessment.