TITLE

VATS Anatomic Pulmonary Resection in Octogenarians

AUTHOR(S)
McVay, Carie L.; Pickens, Allan; Fuller, Clark; Houck, Ward; McKenna Jr., Robert
PUB. DATE
September 2005
SOURCE
American Surgeon;Sep2005, Vol. 71 Issue 9, p791
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Although modern techniques in anesthesia and surgery have reduced morbidity and mortality for pulmonary resection, some physicians still consider advanced age a contraindication to resection of lung cancer. We examined our experience with VATS lobectomy in octogenarians at Cedars-Sinai Medical Center over 12 years (1992-2004). There were 159 patients. Mean age was 83 years (range, 80-94 years) consisting of 61 males (38%) and 96 females (62%). Operations included 153 lobectomies (96%), 3 bilobectomies (2%), and 3 pneumonectomies (2%). Two operations were converted to thoracotomy (1%), one due to bleeding, and one due to poor visualization. Median hospital stay was 4.00 ± 6.39 days. One hundred thirty-one patients (82%) had no complications. The most common complication was arrhythmias occurring in 8/159 (5%) patients. There were three perioperative deaths (1.8%). Pathology revealed 104 adenocarcinomas (65%), 25 squamous cell carcinomas (16%), 5 adeno-squamous carcinomas (3%), 7 bronchoalveolar carcinomas (4%), 7 large cell carcinomas (4%), 4 carcinoid tumors (3%), 4 non-small cell lung cancer (NSCLC) (3%), 1 mucoepidermoid carcinoma (<1%), 1 lymphoma (<1%), and 1 pulmonary metastasis (<1%). Median follow-up was 29 months. The results of this series show that age alone is not a contraindication to the surgical treatment of lung cancer.
ACCESSION #
18385510

 

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