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European Journal of Cardio-Thoracic Surgery, Vol 11, 432-439, Copyright © 1997 by European Association for Cardio-thoracic Surgery
U Morandi, A Stefani, M Golinelli, C Ruggiero, L Brandi, A Chiapponi, C Santi and R Lodi
METHODS: From January 1989 to October 1993, at the Department of Cardio-
Thoracic Surgery of the University of Modena, 806 patients underwent
thoracotomy and curative pulmonary resection for non small-cell lung
cancer. Eighty five patients were 70 years old or older (mean 73.4 years,
range 70-88). There were 78 males (91.7%) and 7 females (8.3%). This
population was compared to 130 younger patients (under 70 years old),
treated during the same period and with similar features with respect to
the type of resection, sex, histology, grading and staging. Lobectomy was
the procedure of preference in both groups. RESULTS: As regards
postoperative mortality and overall complications, no significant
differences were noted between the two groups of patients (two younger
patients died and 43.8% had postoperative complications; one patient of the
older group died and 55.2% had postoperative complications), but in the
older ones a higher incidence of cardiovascular complications was found (P
< 0.01). With respect to the long-term survival (follow-up 12-70
months), no significant difference was found between the two groups.
CONCLUSION: Such findings show that pulmonary resection for bronchogenic
cancer is feasible and justified in patients more than 70 years old, even
if a higher incidence of cardiovascular complications may occur: a careful
preoperative selection ought to be performed and lobectomy should be
preferred.
ARTICLES
Results of surgical resection in patients over the age of 70 years with non small-cell lung cancer
Department of Cardiothoracic Surgery, University of Modena, Italy.
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