title: [Long-term results of lung cancer surgery in octogenarians].
abstract: BACKGROUND
  This retrospective study was undertaken to evaluate late results of lung cancer surgery in octogenerians.
  
  
  METHODS
  All patients 80years old or more who underwent a lung resection for cancer from 2000 to 2010 at Lyon University Hospital were included. No patients were treated with video-assisted surgery. Wedge resections were excluded.
  
  
  RESULTS
  Sixty-three patients (42 men, 21 women) were operated. The median age was 82years. Operative mortality was 4.7%. The rate of perioperative complications was 49%. The late survival was 34% at 5years. Five-year survival by nodal involvement was N0, 36%; N1, 29%; N2 20%, P<0.05. Patients with a squamous cell carcinoma (24) had a better long-term survival than patients with an adenocarcinoma (30), 33% and 25% respectively at 5years, P<0.05. The rate of recurrence was 33.9%.
  
  
  CONCLUSIONS
  Surgical treatment of lung cancer in selected population of octogenerians is associated with satisfactory early and long-term results. Survival is influenced by nodal involvement and by the pathologic type of the cancer.
authors.affiliation: Service de chirurgie thoracique, hôpital Louis-Pradel, 28, avenue Doyen-Lépine, 69677 Bron cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Gardet
authors.affiliation: Service de chirurgie thoracique, hôpital Louis-Pradel, 28, avenue Doyen-Lépine, 69677 Bron cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Tabutin
authors.affiliation: Service de pneumologie, centre hospitalier Lyon Sud, 69495 Pierre-Bénite, France.
authors.forename: S
authors.initials: S
authors.lastname: Couraud
authors.affiliation: Service de chirurgie thoracique, hôpital Louis-Pradel, 28, avenue Doyen-Lépine, 69677 Bron cedex, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Maury
authors.affiliation: Service de chirurgie générale et thoracique, centre hospitalier Lyon Sud, 69495 Pierre-Bénite, France.
authors.forename: B
authors.initials: B
authors.lastname: Guibert
authors.affiliation: Service de chirurgie thoracique, hôpital Louis-Pradel, 28, avenue Doyen-Lépine, 69677 Bron cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Nguyen Van
authors.affiliation: Unité fonctionnelle de recherche clinique et de biostatistiques, CHU Dupuytren, 87042 Limoges, France.
authors.forename: A E
authors.initials: AE
authors.lastname: Tchalla
authors.affiliation: Service de pneumologie, centre hospitalier Lyon Sud, 69495 Pierre-Bénite, France.
authors.forename: P-J
authors.initials: PJ
authors.lastname: Souquet
authors.affiliation: Service de chirurgie thoracique, hôpital Louis-Pradel, 28, avenue Doyen-Lépine, 69677 Bron cedex, France. Electronic address: francois.tronc@chu-lyon.fr.
authors.forename: F
authors.initials: F
authors.lastname: Tronc
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000379:methods / Q000401:mortality / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome
keywords: Cancer du poumon; Chirurgie; Long-term survival; Lung cancer; Morbidity; Morbidité; Mortality; Mortalité; Octogenarians; Sujets âgés; Surgery; Survie à long terme