Original articleGeneral thoracicRisk Factors for Morbidity After Lobectomy for Lung Cancer in Elderly Patients
Section snippets
Patients and Methods
After local institutional review board approval was granted, the Duke University Medical Center Data Center was queried for current procedural terminology codes linked with pulmonary resection by either an open approach or by a thoracoscopic approach between December 1999 and October 2007. Careful attention was paid to individual operative notes and surgical pathology reports to identify all patients older than 70 years age who underwent anatomic lobectomy. Patients who had a completion
Results
During the study period, 971 patients older than 70 underwent lung resection. Of these, 338 patients (median age of 75) underwent lobectomy for lung cancer: 119 patients underwent thoracotomy and 219 patients underwent thoracoscopy. The distribution performed per study year is depicted in Figure 1. Lobectomy was performed in 1,578 patients overall during the study period. Therefore, the number evaluated in this report represents approximately 21% of the total number of lobectomies.
Demographic,
Comment
This study demonstrates that lobectomy can be performed for non–small cell lung cancer in patients older than 70 with acceptable overall morbidity and mortality (3.8% and 47%, respectively). These results are in the range of those published from other multiinstitution and single-institution series [6, 12, 28, 29, 30, 31]. Despite the significant comorbid conditions listed in Table 1, the majority of patients did not experience a postoperative complication. Our analysis demonstrates that age and
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