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Eur J Cardiothorac Surg 2000;18:662-665
© 2000 Elsevier Science NL

Pulmonary complications after surgical treatment of lung cancer in octogenarians

^a Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan
^b Department of Pulmonary Surgery, National Nishi-Niigata Chuou Hospital, Niigata, Japan

Received 14 April 2000; received in revised form 20 July 2000; accepted 5 September 2000.

Corresponding author. Tel.: +81-25-227-2233; fax: +81-25-227-0780
e-mail: taoki{at}med.niigata-u.ac.jp

Objective: The purpose of this study was to analyze the risks associated with pulmonary resection for primary non-small cell lung cancer in octogenarians to help better management in these patients. Methods: We reviewed the outcome in our 35 patients aged 80 years and older who underwent pulmonary resection between 1981 and 1998. Results: The 5-year survival rate was 39.8%. The operative mortality rate was 0% and the morbidity 60%. There were ten major pulmonary complications, including respiratory insufficiency following bacterial pneumonia and sputum retention. Preoperative arterial pO₂ was significantly lower, A-aDO₂ was significantly higher, and operation time were significantly longer in patients with pulmonary complications after surgical treatment than in patients without complications (P<0.05). Conclusions: Surgical treatment was not contraindicated for octogenarians with lung cancer. However, a relatively preoperative low arterial pO₂, high A-aDO₂, and long operation time may be risk factors for postoperative pulmonary complications in such patients. Surgeons must assess the preoperative data prudently to determine appropriate surgical strategy.

Key Words: Octogenarian • Pulmonary complication • Lung cancer • Pulmonary resection

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