Results of resection for bronchogenic carcinoma in patients over the age of 80.

Abstract

Thirty three patients aged over 80 years underwent resection for bronchogenic carcinoma. The operations performed were: lobectomy (21), segmentectomy (4), wedge resection (2), pneumonectomy (3), carinal resection (1). In two patients no resection was feasible. Three patients died within two months of surgery. The cumulative five year survival rate was 55%, 79% for patients with stage I carcinoma and 31% for stage III. It is considered that resection has an acceptable outcome in patients over 80 years.

Results after Surgery in Stage-I Bronchogenic Carcinoma

“…Ishido a nd associa tes in a study of 185 operated pati ents 70 yea rs of age or older foun d no differen ce in survival rates as compared to tho se of younger patients (13), and similar observatio ns have been repo rted by Shirakusa (14) and Roxburgh (15): thi s is in contrast to our study.…”

Surgical Treatment for Octogenarians with Lung Cancer: Results from a Population-Based Series of 124 Patients

“…Due to advances in anesthesia and postoperative care, surgery can now be performed in high-risk patients and even in those of 80 years and older (octogenarians). 2,3 Age-related differences in both diagnostic procedures and treatment have already been reported, 4,5 as well as the limited participation of elderly patients in clinical trials. 6,7 A number of studies report on the use of surgery for elderly patients with lung cancer, but these are mainly derived from single, dedicated institutions.…”

High postoperative risk after pneumonectomy in elderly patients with right-sided lung cancer

“…Considering the fact that 5-yr survival after pneumonectomy is reasonable, the present authors agree with most authors that older age should not be the only reason to withhold surgical therapy [8,22]. In a disease like lung cancer, resection may even be proposed to octogenarians, although results are contradictory [23,24]. Independent of age, patients need to be informed about the operative risk because, even when a lobectomy is anticipated, more extensive surgery may be necessary.…”