[Pulmonary resections for cancer in the octogenarian].
More and more elderly subjects are offered for pulmonary resection. The object of this study was to review the results of excision for cancer in octogenarians.


METHODS
51 consecutive patients (44 men, 7 women) with a mean age of 82 years (80-91) were operated on. 31 lobectomies, 2 bilobectomies, 13 pneumonectomies, 1 segmental resection and 4 exploratory thoracotomies were carried out. 17 tumours were classed as stage I, 15 as stage II and 15 as stage III.


RESULTS
38 patients (75%) had uncomplicated post-operative periods; the predicted factors for complication were the existence of weight loss and alteration of respiratory function. 2 patients (4%) died in the post-operative phase. Neither the type of operation, the staging or the existence of cardiovascular dysfunction had any influence on the post-operative phase. The level of the survival at 3 and 5 years was 39% and 16% respectively. 30% of the late deaths were related to intercurrent events.


CONCLUSIONS
Pulmonary excision may be envisaged in an octogenarian who is in good physical and intellectual state with a limited tumour. This surgery in general is applied to a population which probably only marginally consists of octogenarians but the results here justify their inclusion in the indications for selection.
Regnard
J F
JF
Service de Chirurgie Thoracique, Hôpital Marie Lannelongue, Le Plessis Robinson.
Calanducci
F
F
Denet
C
C
Santelmo
N
N
Gharbi
N
N
Bourcereau
J
J
Magdeleinat
P
P
Levasseur
P
P
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006304:Health Status; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D011379:Prognosis; D019616:Thoracic Surgical Procedures; D016896:Treatment Outcome
Résections pulmonaires pour cancer chez l'octogénaire.