Results of Lung Cancer Surgery for Octogenarians

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Haruaki HinoJun Nakajima

Abstract

Growing number of elderly lung cancer patients reflecting a lengthening life span has become a serious problem. Purpose of this study was to elucidate the short and long-term outcome of the surgery for octogenarians, and to evaluate the role of lung cancer surgery for this high age group. The patients with lung cancer aged 80 years or more who underwent the surgery at our institute from January 1998 through December 2012 were retrospectively analyzed by chart review, and the operative mortality, morbidity and the long-term survival were assessed. Out of a total of 1107 patients with primary lung cancer who received surgery during the study period, 94 were octogenarians (8.5%). Sixty-nine patients (73.4%) had preoperative co-morbidity including hypertension in 50 (53.2%), coincidence of other malignancy in 35 (37.2%), anti-coagulant therapy in 29 (30.9%). Twenty-six patients (27.7%) had major or minor postoperative morbidity, and one (1.1%) died due to bronchopleural fistula. Overall-5-year survival rate was 57.5%. Univariative and multivariative analysis using Cox proportional hazard model revealed that male gender and non-adenocarcinoma histology were significant risk factors for poor prognosis. Gender and histology should be ...Continue Reading

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Citations

Jan 30, 2016·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Junichi OkamotoJitsuo Usuda
Jan 5, 2016·Clinical Lung Cancer·Apar Kishor GantiAnne Kessinger
Feb 28, 2017·Thoracic Cancer·Haruaki HinoJun Nakajima
Dec 23, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Haruaki HinoJun Nakajima
Apr 30, 2020·ANZ Journal of Surgery·Laura S FongPragnesh V Joshi
Nov 10, 2017·Current Opinion in Anaesthesiology·Stephen J ShepherdGuillermo Martinez
Apr 3, 2019·World Journal of Surgery·Haruaki HinoJun Nakajima
Nov 10, 2017·Current Opinion in Anaesthesiology·Mohamed K Kamel, Jeffrey L Port
Aug 27, 2021·Interactive Cardiovascular and Thoracic Surgery·Igor SafticJohn Pilling

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