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The Annals of Thoracic Surgery, Vol 50, 919-922, Copyright © 1990 by The Society of Thoracic Surgeons
T Ishida, H Yokoyama, S Kaneko, K Sugio and K Sugimachi
We surgically treated 185 patients with non-small cell lung cancer who were
70 years old or older. The operative mortality rate was 3%, and the 5-year
survival rate was 48%. The mortality and prognosis were similar to those in
younger patients. The number of elderly patients who smoked heavily or who
had ventilatory defects was high, but the incidence of pneumonectomy was
low. There were no differences based on age in regard to histological type,
TNM classification, and curability. Pulmonary complications occurred in 21%
of the elderly patients and were correlated with preoperative pulmonary
function and smoking habits. When the elderly are to undergo elective
pulmonary resection for lung cancer, the preoperative evaluation of
pulmonary function should be thorough, and both preoperative and
postoperative physical therapy should be given. If postoperative pulmonary
function is predicted to be less than 0.8 L/m2 of vital capacity and 0.6
L/m2 of forced expiratory volume in 1 second, a limited resection or
nonsurgical therapy should be considered.
ARTICLES
Long-term results of operation for non-small cell lung cancer in the elderly
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
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