Guidelines on the selection of patients with lung cancer for surgery

February 2001
Thorax;Feb2001, Vol. 56 Issue 2, p89
Academic Journal
Penoperative morbidity increases with advancing age. Elderly patients undergoing lung resection are more likely to require intensive penoperative support Preoperatwely, a careful assessment of co-morbidity needs to be made. Surgery for clinically stage I and II disease can be as effective in patients over 70 years as in younger patients. Such patients should be considered for surgical treatment regardless of age. Age over 80 alone is not a contraindication to lobectomy or wedge resection for clinically stage I disease. Pneumonectomy is associated with a higher mortality risk in the elderly. Age should be a factor in deciding suitability for pneumonectomy.


Related Articles

  • Indications and results of completion pneumonectomy. Jungraithmayr, Wolfgang; Hasse, Joachim; Olschewski, Manfred; Stoelben, Erich // European Journal of Cardio-Thoracic Surgery;Jul2004, Vol. 26 Issue 1, p189 

    Objectives: Completion pneumonectomy (CP) is widely known to be associated with a high morbidity and mortality. However, in certain instances, CP offers the only chance for a cure. The results of the following three groups were investigated: progressive or recurrent benign disease, recurrence of...

  • Detected troponin elevation is associated with high early mortality after lung resection for cancer. Lim, Eric; Choy, Li Li; Flaks, Lydia; Mussa, Shafi; Van Tornout, Fillip; Van Leuven, Marc; Parry, G. Wyn // Journal of Cardiothoracic Surgery;2006, Vol. 1, p37 

    Background: Myocardial infarction can be difficult to diagnose after lung surgery. As recent diagnostic criteria emphasize serum cardiac markers (in particular serum troponin) we set out to evaluate its clinical utility and to establish the long term prognostic impact of detected abnormal...

  • Surgery Volume and Operative Mortality in the United States. Rhodes, Robert S.; Clagett, G. Patrick // Perspectives in Vascular Surgery & Endovascular Therapy;Oct2004, Vol. 16 Issue 4, p329 

    The authors conducted a study to determine the relative importance of the experience of the operating surgeon in rates of mortality within 30 days of a procedure. They searched the Medicare claims database for 1998 through 1999 for mortality among 474,108 patients who underwent one of eight...

  • RN MASTER CARE PLAN: When the patient has a thoracotomy.  // RN;Dec84, Vol. 47 Issue 12, p30 

    Suggests a care plan for thoracotomy patients. Problems of a thoracotomy patient; Expected outcomes; Nursing interventions.

  • Effect of training on patient outcomes following lobectomy. Chaudhuri, N.; Grayson, A. D.; Grainger, R.; Mediratta, N. K.; Carr, M. H.; Soorae, A. S.; Page, R. D. // Thorax;Apr2006, Vol. 61 Issue 4, p327 

    Background: Little is known about the effect of surgical training on outcomes in thoracic surgery. The impact of surgeon training on outcomes following lung resection was examined, focusing on lobectomy as a marker operation. Methods: 328 consecutive patients who underwent lobectomy at our...

  • Re: The burden of death following discharge after lobectomy. Falcoz, Pierre-Emmanuel // European Journal of Cardio-Thoracic Surgery;Jul2015, Vol. 48 Issue 1, p70 

    The author reflects on the study "The burden of death following discharge after lobectomy," by L. Schneider and colleagues, focusing on the postoperative mortality for patients who underwent lobectomy lung cancer. Topics discussed include the in-hospital mortality (IHM) and post-discharge...

  • The European Thoracic Surgery Database project: modelling the risk of in-hospital death following lung resection. Berrisford, Richard; Brunelli, Alessandro; Rocco, Gaetano; Treasure, Tom; Utley, Martin // European Journal of Cardio-Thoracic Surgery;Aug2005, Vol. 28 Issue 2, p306 

    Abstract: Objective: To identify pre-operative factors associated with in-hospital mortality following lung resection and to construct a risk model that could be used prospectively to inform decisions and retrospectively to enable fair comparisons of outcomes. Methods: Data were submitted to the...

  • Results of surgical treatment of T4 non-small cell lung cancer Pitz, Cordula C.M.; Brutel de la Rivière, Aart; van Swieten, Henry A.; Westermann, Cees J.J.; Lammers, Jan-Willem J.; van den Bosch, Jules M.M. // European Journal of Cardio-Thoracic Surgery;Dec2003, Vol. 24 Issue 6, p1013 

    Objective: Because of location and invasion of surrounding structures, the role of surgical treatment for T4 tumors remains unclear. Extended resections carry a high mortality and should be restricted for selected patients. This study clarifies the selection process in non-small cell T4 tumors...

  • Effect of implementing the European guidelines for functional evaluation before lung resection on cardiorespiratory morbidity and 30-day mortality in lung cancer patients: a case–control study on a matched series of patients†. Novoa, Nuria; Jiménez, Marcelo F.; Aranda, Jose Luis; Rodriguez, Maria; Ramos, Jacinto; Gómez Hernández, M. Teresa; Varela, Gonzalo // European Journal of Cardio-Thoracic Surgery;Apr2014, Vol. 45 Issue 4, pe89 

    OBJECTIVES We hypothesized that postoperative cardiorespiratory morbidity and/or 30-day death rates decreased after implementing the new European ERS/ESTS guidelines for functional evaluation before lung resection and tested the hypothesis by means of a case–control study. METHODS The...


Read the Article


Sign out of this library

Other Topics