Major lung resection for the treatment of lung cancer in octogenarian patients

VernacularTitle:解剖性肺切除治疗80岁以上老年人肺癌
Author: Donghong CHEN ; Xiuyi ZHI ; Yi ZHANG ; Qingsheng XU ; Baodong LIU ; Chunmei WANG ; Zhenbang LIU ; Bing DONG
Publication Type:Journal Article
Keywords: Lung neoplasms; Aged; 80 and over; Pulmonary surgical procedures
From: Cancer Research and Clinic 2011;23(5):289-290,298
CountryChina
Language:Chinese
Abstract: Objective To explore the clinical characteristics of bronchial carcinoma in elder patients and determine the operative indication, surgical technique, and management in the perioperative period. Methods 16 patients with bronchial carcinoma aged 80 and over received major pulmonary resection through muscle sparing mini-thoracotomy. The operative procedures were lobectomy(8 cases), bilobectomy (3 cases), sleeve lobectomy (2 cases), pneumonectomy (1 case), and lobectomy plus wedge resection (2 cases). Clinical data were analyzed retrospectively. Results Of the 16 patients, 6 with stage Ⅰ disease, 3 with stage Ⅱ and 7 with stage Ⅲdisease. There were no perioperative death occurred. The most popular postoperative complications were cardiac arrhythmia, pulmonary infection and hypoxemia. Conclusion Major pulmonary resection is a rational choice for part of the octogenarian patients with lung cancer.