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The Annals of Thoracic Surgery, Vol 51, 800-803, Copyright © 1991 by The Society of Thoracic Surgeons
JC Roxburgh, J Thompson and P Goldstraw
We have studied the hospital mortality and long-term survival in two groups
of patients: those between 50 and 69 years of age (group 1, n = 136) and
those older than 70 years of age (group 2, n = 43). The two groups were
similar in terms of the distribution of histological type and postsurgical
staging. The patients were treated by either lobectomy or pneumonectomy;
the lobectomy rate was similar in both groups: 61% and 51% (not
significant). Hospital mortality for group 1 was 4.4% and for group 2,
6.9%. Mortality was higher in both groups after pneumonectomy compared with
lobectomy, but this was not significant (group 1, 6.2% versus 1.9%; group
2, 9.1% versus 4.7%). Hospital mortality after pulmonary resection was
greater in the elderly, but this was not significant (lobectomy: 1.9%
[group 1] versus 4.7% [group 2]; pneumonectomy: 6.2% [group 1] versus 9.1%
[group 2]. The overall long-term survival at 2 and 4 years was 62.3% and
50.0% for group 1 and 72.5% and 66.6% for group 2. We suggest that the
operative risk in the elderly is not prohibitive and the long-term results
are acceptable. Patients should not be denied operation on the basis of age
alone.
ARTICLES
Hospital mortality and long-term survival after pulmonary resection in the elderly
Royal Brompton and National Heart Hospital, London, England.
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