Volume 11 Supplement 1

XXIII Annual Meeting of the Italian Society of Geriatric Surgery

Open Access

Pulmonary resection for NSCLC in octogenarians: a single center experience

  • S Di Russo1,
  • A Mani1Email author,
  • L Guetti1,
  • P Camplese1,
  • G Cipollone1,
  • T Iarussi1 and
  • F Mucilli1
BMC Geriatrics201111(Suppl 1):A11

https://doi.org/10.1186/1471-2318-11-S1-A11

Published: 24 August 2011

Background

Lung cancer is the second leading cancer death among octogenarians [1] and in particular NSCLC accounts for more than 90% of all lung cancers. Since life expectancy is improving, lung cancers are observed among octogenarians people more often. Surgical resection remains the treatment of choice for early stage lung cancer2. The authors report the outcomes of pulmonary resection for NSCLC in octogenarians.

Materials and methods

We reviewed our center experience in elderly patients between 1999 and 2009 and reported perioperative mortality and morbidity. Thirty patients older than 80 years underwent surgical resection for NSCLC. Among these 19 lobectomies, 1 sleeve-lobectomy, 2 bilobectomies, 6 segmentectomies and 2 wedge resections were performed.

Results

Post-operative non fatal complication occurred in 6 patients (20%): atrial fibrillation in 3 patients (10%), blood loss in 2 patients (6.6%), renal failure in 2 patients (6.6%), transitory cardiac arrhythmia in 1 patient (3%) and respiratory failure in 1 patient (3%). There was 1 post-operative death (3%).

Conclusions

The advances in preoperative and postoperative care and surgical technique allow a larger number of curative resections in octogenarians patients [2]. Therefore age is not an absolute contraindication for NSCLC surgical treatment but pre-operative study is mandatory. It highlights comorbidity that can badly influence the post-operatory outcome and the survival.

Authors’ Affiliations

(1)
Department of Surgical Sciences – Unit of Surgical Clinic, University of Chieti “G. D’Annunzio”

References

  1. Port JL, Kent M: Surgical resection for lung cancer in Otogenarian. Chest. 2004, 126: 733-738. 10.1378/chest.126.3.733.View ArticlePubMedGoogle Scholar
  2. Voltolini L, Rapicetta C: Short-and long-term results of lung resection for cancer in Octogenarians. Asian Cardiovasc Thorac Ann. 2009, 17: 147-152.View ArticlePubMedGoogle Scholar

Copyright

© Di Russo et al; licensee BioMed Central Ltd. 2011

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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