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Ann Thorac Surg 1976;22:369-373
© 1976 The Society of Thoracic Surgeons


Articles

Major Pulmonary Resection for Bronchogenic Carcinoma in the Elderly

Marvin M. Kirsh, M.D.*, Harold Rotman, M.D., Edward Bove, M.D., Louis Argenta, M.D., Vincent Cimmino, M.D., Jeanne Tashian, M.A., Pauline Ferguson, A.B., Herbert Sloan, M.D.

Department of Surgery, Section of Thoracic Surgery, The University of Michigan Medical Center, Ann Arbor, MI.

Accepted for publication December 22, 1975.

* Address reprint requests to Dr. Kirsh, C-7175 University Hospital, Ann Arbor, MI 48109.

The results of major pulmonary resection in 58 patients greater than 70 years of age were reviewed. The histological distribution and extent of nodal metastases in this age group are the same as in younger patients. The absolute five-year survival rate for the 55 patients undergoing curative resection was 30% (17 patients). It was 36% (11 patients) for those patients with squamous cell carcinoma and 22% (5 patients) for those with adenocarcinoma. The operative mortality was only 14% (8 patients). Of the 49 patients treated by lobectomy, 17 lived five years or more free of disease, whereas none of the 6 patients treated by pneumonectomy survived five years.

The five-year survival rate of 30% in this series of elderly patients treated by major pulmonary resection makes resections in such patients with bronchogenic carcinoma worthwhile.




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