Volume 11 Supplement 1

XXIII Annual Meeting of the Italian Society of Geriatric Surgery

Open Access

Quality of life in octogenarians with non small cell lung cancer: the strategic role of video assisted thoracic surgery

BMC Geriatrics201111(Suppl 1):A65

https://doi.org/10.1186/1471-2318-11-S1-A65

Published: 24 August 2011

Background

The aim of the present study was to assess the surgical approach in octogenarians comparing the benefits of video-assisted thoracic surgery (VATS) with the open thoracotomy and analysing early and long term quality of life (QOL) changes.

Materials and methods

We reviewed 42 consecutive octogenarians (mean age 82.3±1.4 years) with a preoperative FEV1 of 1.5 L or less who had undergone pulmonary resection for stage I non-small cell lung cancer (NSCLC). Patients were divided into two groups according to surgical approach (VATS group n=22; thoracotomy group n=20) and their postoperative complications and prognoses were evaluated. Quality of life was assessed using Medical Outcome Study Short-Form 36-item Health Survey (SF-36) just before surgery and at 6 and 12 months postoperatively.

Results

Morbidity rate and postoperative hospital stay were significantly different between VATS and thoracotomy group (p=0.01; p=0.0003, respectively). A worse decrease in thoracotomy vs VATS group was demonstrated in five domains at 6 months, and in all domains at 12 months of SF-36 questionnaire. The thoracotomy group presented a significant reduction in the dyspnoea index, FEV1 and DLCO at both 6 and 12 months.

Conclusions

In octogenarians with NSCLC and compromised pulmonary function the long-term survival justifies the operative treatment, and minimally invasive surgical approach enables surgeons to extend pulmonary resection in these high-risk patients if selected appropriately.

Authors’ Affiliations

(1)
Unità di Chirurgia Toracia, Università degli Studi di Napoli Federico II
(2)
Unità Operativa di Chirurgia Toracica, AORN Antonio Cardarelli

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Copyright

© Vicidomini 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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