[Long-term results of lung cancer surgery in octogenarians].
REVUE DE PNEUMOLOGIE CLINIQUE 2016;
72:3-9. [PMID:
26725006 DOI:
10.1016/j.pneumo.2015.09.005]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2014] [Revised: 09/08/2015] [Accepted: 09/15/2015] [Indexed: 06/05/2023]
Abstract
INTRODUCTION
This retrospective study was undertaken to evaluate late results of lung cancer surgery in octogenerians.
METHODS
All patients 80years old or more who underwent a lung resection for cancer from 2000 to 2010 at Lyon University Hospital were included. No patients were treated with video-assisted surgery. Wedge resections were excluded.
RESULTS
Sixty-three patients (42 men, 21 women) were operated. The median age was 82years. Operative mortality was 4.7%. The rate of perioperative complications was 49%. The late survival was 34% at 5years. Five-year survival by nodal involvement was N0, 36%; N1, 29%; N2 20%, P<0.05. Patients with a squamous cell carcinoma (24) had a better long-term survival than patients with an adenocarcinoma (30), 33% and 25% respectively at 5years, P<0.05. The rate of recurrence was 33.9%.
CONCLUSIONS
Surgical treatment of lung cancer in selected population of octogenerians is associated with satisfactory early and long-term results. Survival is influenced by nodal involvement and by the pathologic type of the cancer.
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