| Lung cancer surgery in the octogenarian. | |
| | |
MedLine Citation:
|
PMID: 7811476 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
From 1981 through 1991, 40 patients 80 years of age or older underwent thoracotomy for curative resection of bronchogenic carcinoma. There were 22 males and 18 females with a mean age of 82.7 years (range 80-88). In three patients, the operation was aborted due to unexpected metastatic disease discovered at the time of thoracotomy. The remaining 37 patients underwent 5 pneumonectomies, 26 lobectomies and 6 segmentectomies or wedge resections. Three of these patients (1 pneumonectomy, 1 lobectomy, and 1 wedge resection) underwent concomitant en bloc chest wall resection. The overall operative mortality rate (in hospital or within 30 days) was 15% (6/40) while there was a 16% mortality rate (6/37) for resected patients. Complications occurred in 18 of 40 patients (45%) but were major in only 12 (30%). Major complications included respiratory insufficiency (6), pneumonia (4), prolonged air leak (2), stroke (1), urinary retention prostatectomy (1), and one unexplained sudden death 2 weeks following discharge. Postoperative stay in the 34 operative survivors averaged 14 +/- 8.8 days (range 3-47). Univariate analysis revealed that neither gender, extent of lung resection, preoperative NYHA class, history of heart disease nor chronic obstructive pulmonary disease (COPD) were predictive of operative mortality in the 37 patients undergoing lung resection. Age was the only predictor of mortality (survivors 82.2 +/- 2.2, non-survivors 84.3 +/- 2.6; P < 0.05). The need for chest wall resection approached but did not quite achieve significance (P < 0.08). Actuarial survival for all 40 patients at 1 and 3 years is 55% and 40%, respectively.(ABSTRACT TRUNCATED AT 250 WORDS) |
| | |
Authors:
|
K S Naunheim; K A Kesler; S A D'Orazio; A C Fiore; D R Judd |
Related Documents
:
|
21966136 - Combined procedures with laparoscopic cholecystectomy. 22091336 - The correction of involutional entropion of eyelid by lateral strip procedure. 21861236 - Technical controversies in laparoscopic sleeve gastrectomy. 22188176 - Percutaneous tracheostomy, a systematic review. 22426936 - Endoscopic bursectomy for the treatment of septic pre-patellar bursitis: a case series. 9426996 - Safety and efficacy of diagnostic peritoneal lavage performed by supervised surgical an... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery Volume: 8 ISSN: 1010-7940 ISO Abbreviation: Eur J Cardiothorac Surg Publication Date: 1994 |
Date Detail:
|
Created Date: 1995-02-08 Completed Date: 1995-02-08 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8804069 Medline TA: Eur J Cardiothorac Surg Country: GERMANY |
Other Details:
|
Languages: eng Pagination: 453-6 Citation Subset: IM |
Affiliation:
|
Department of Surgery, St. Louis University Medical Center, MO 63110-0250. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Actuarial Analysis Age Factors Aged Aged, 80 and over Analysis of Variance Carcinoma, Bronchogenic / mortality, physiopathology, surgery* Female Follow-Up Studies Humans Lung Neoplasms / mortality, physiopathology, surgery* Male Morbidity Neoplasm Staging Pneumonectomy / mortality* Postoperative Complications / mortality* Respiratory Function Tests Risk Factors Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Differential expression of cyclin D2 and cdc2 genes in proliferating and nonproliferating alveolar e...
Next Document: Surgery following neoadjuvant MPV chemotherapy (mitomycin, cisplatin, vinblastine) in locally advanc...