Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy
Joint Authors
Gorden, Jed A.
Louie, Brian E.
Farviar, Alexander S.
Vallieres, Eric
Aye, Ralph W.
Feczko, Andrew
McKeown, Elizabeth
Wilson, Jennifer L.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-08
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Introduction.
Octogenarians are at increased risk for complications after lung resection.
With alternatives such as radiation, understanding the risks of surgery and associated survival are valuable.
Data grading the severity of complications and long-term survival in this population is lacking.
We reviewed our experience with lobectomy in octogenarians, grading complications using a validated thoracic morbidity and mortality schema.
Methods.
We retrospectively reviewed consecutive patients aged ≥80 undergoing lobectomy between 2004 and 2012.
Demographics, clinical/pathologic stage, complications, recurrence, and mortality were collected.
Complications were graded by the Seely thoracic morbidity and mortality model.
Results.
45 patients (mean age 82.2 years) were analyzed.
The majority of patients (28/45, 62%) were clinical stage IA/IB.
62% (28/45) of patients experienced a complication.
Only 15.6% (7/45) were considered significantly morbid (≥ grade IIIB) per the Seely model.
Perioperative mortality was 2% and half of patients were living at a follow-up of 53 months.
Overall five-year survival was 52%.
Conclusions.
In carefully selected octogenarians, lobectomy carries a 15.6% rate of significantly morbid complications with encouraging overall survival.
These data provide the basis for a more complete discussion with patients regarding lobectomy for lung cancer.
American Psychological Association (APA)
Feczko, Andrew& McKeown, Elizabeth& Wilson, Jennifer L.& Louie, Brian E.& Aye, Ralph W.& Gorden, Jed A.…[et al.]. 2017. Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy. Canadian Respiratory Journal،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1150841
Modern Language Association (MLA)
Feczko, Andrew…[et al.]. Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy. Canadian Respiratory Journal No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1150841
American Medical Association (AMA)
Feczko, Andrew& McKeown, Elizabeth& Wilson, Jennifer L.& Louie, Brian E.& Aye, Ralph W.& Gorden, Jed A.…[et al.]. Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy. Canadian Respiratory Journal. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1150841
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150841