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The Annals of Thoracic Surgery, Vol 57, 188-192, Copyright © 1994 by The Society of Thoracic Surgeons
T Osaki, T Shirakusa, M Kodate, R Nakanishi, T Mitsudomi and H Ueda
The purpose of this study was to investigate the value of surgical
treatment for lung cancer in the octogenarian. Thirty-three patients 80
years of age or older (mean age, 82.4; range, 80 to 92 years; 25 men, 8
women) underwent surgical resection in our units between 1974 and 1991. The
operative mortality rate was 3%, and the 5-year survival rate was 32%. The
relative 5-year survival rate (survival rate of our subjects/that of
matched population) was 61%. The mortality and long- term survival rates
were similar to those in younger patients. In this study, long-term
survival had no significant dependence on stage of disease, histologic
tumor type, or complete versus incomplete resection. It was dependent
mainly on postoperative complications, in particular, cardiorespiratory
complications (cardiac complications, p = 0.0005; respiratory
complications, p < 0.05). These data suggest that the octogenarian who
suffers from lung cancer deserves the opportunity for a cure and the
long-term benefits of surgical treatment, on the condition that no
postoperative major cardiorespiratory complications set in.
ARTICLES
Surgical treatment of lung cancer in the octogenarian
Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
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