Surgical treatment of lung cancer over 80 years of age: investigation from post operative complications

T. Tanita, T. Tabata, J. Shibuya, M. Noda, Yasushi Hoshikawa, S. Ueda, T. Hasumi, T. Sakuma, Y. Ashino, S. Ono

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Abstract

Seventeen patients with lung cancer over 80 years were treated surgically from 1983 through 1993 in our department. Thirteen patients were male and four were female. The histology of the tumor was adenocarcinomas, squamous, large and small cell carcinomas, in 9, 6, 1 and 1 cases, respectively. More than single lobectomy was performed in each patient. Unilateral pulmonary occlusion test was applied in patients whose expected contralateral FEV1.0/BSA was less than 800 ml.m2, or expected residual FEV1.0/BSA was less than 850 ml.m-2. Postoperative cardiovascular complications, such as PAT, PAC, PVC or Af, were seen in 9 patients, respiratory problems, namely, sputa retention, retained secretions or atelectasis, in 7 patients. Blood chemistry and hematology were performed for about three weeks after operations, and found increases in serum transaminases, and leukocytosis. However, there were no operative death. We conclude that some patients over 80 years of age are candidates for surgery after careful cardiopulmonary preoperative evaluation.

Original languageEnglish
Pages (from-to)354-359
Number of pages6
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume48
Issue number5
Publication statusPublished - 01-01-1995

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Lung Neoplasms
Therapeutics
Large Cell Carcinoma
Small Cell Carcinoma
Pulmonary Atelectasis
Leukocytosis
Hematology
Transaminases
Sputum
Polyvinyl Chloride
Squamous Cell Carcinoma
Histology
Adenocarcinoma
Lung
Serum
Neoplasms

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Tanita, T. ; Tabata, T. ; Shibuya, J. ; Noda, M. ; Hoshikawa, Yasushi ; Ueda, S. ; Hasumi, T. ; Sakuma, T. ; Ashino, Y. ; Ono, S. / Surgical treatment of lung cancer over 80 years of age : investigation from post operative complications. In: Kyobu geka. The Japanese journal of thoracic surgery. 1995 ; Vol. 48, No. 5. pp. 354-359.
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Tanita, T, Tabata, T, Shibuya, J, Noda, M, Hoshikawa, Y, Ueda, S, Hasumi, T, Sakuma, T, Ashino, Y & Ono, S 1995, 'Surgical treatment of lung cancer over 80 years of age: investigation from post operative complications', Kyobu geka. The Japanese journal of thoracic surgery, vol. 48, no. 5, pp. 354-359.

Surgical treatment of lung cancer over 80 years of age : investigation from post operative complications. / Tanita, T.; Tabata, T.; Shibuya, J.; Noda, M.; Hoshikawa, Yasushi; Ueda, S.; Hasumi, T.; Sakuma, T.; Ashino, Y.; Ono, S.

In: Kyobu geka. The Japanese journal of thoracic surgery, Vol. 48, No. 5, 01.01.1995, p. 354-359.

Research output: Contribution to journalArticle

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AU - Tanita, T.

AU - Tabata, T.

AU - Shibuya, J.

AU - Noda, M.

AU - Hoshikawa, Yasushi

AU - Ueda, S.

AU - Hasumi, T.

AU - Sakuma, T.

AU - Ashino, Y.

AU - Ono, S.

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AB - Seventeen patients with lung cancer over 80 years were treated surgically from 1983 through 1993 in our department. Thirteen patients were male and four were female. The histology of the tumor was adenocarcinomas, squamous, large and small cell carcinomas, in 9, 6, 1 and 1 cases, respectively. More than single lobectomy was performed in each patient. Unilateral pulmonary occlusion test was applied in patients whose expected contralateral FEV1.0/BSA was less than 800 ml.m2, or expected residual FEV1.0/BSA was less than 850 ml.m-2. Postoperative cardiovascular complications, such as PAT, PAC, PVC or Af, were seen in 9 patients, respiratory problems, namely, sputa retention, retained secretions or atelectasis, in 7 patients. Blood chemistry and hematology were performed for about three weeks after operations, and found increases in serum transaminases, and leukocytosis. However, there were no operative death. We conclude that some patients over 80 years of age are candidates for surgery after careful cardiopulmonary preoperative evaluation.

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