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21. Jahrestagung der Deutschen Gesellschaft für Thoraxchirurgie

Deutsche Gesellschaft für Thoraxchirurgie

27.09.-29.09.2012, Karlsruhe

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Major pulmonary resection in elderly patients with non-small cell lung carcinoma: Impact of cardiac comorbidity on surgical outcome

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  • Ömer Senbaklavaci - Universitätsmedizin Mainz, Klinik für Herz, Thorax- und Gefäßchirurgie, Mainz
  • Hakan Taspinar - Universitätsmedizin Mainz, Klinik für Herz, Thorax- und Gefäßchirurgie, Mainz
  • Marc Hartert - Universitätsmedizin Mainz, Klinik für Herz, Thorax- und Gefäßchirurgie, Mainz
  • Satu Keränen - Universitätsmedizin Mainz, Klinik für Herz, Thorax- und Gefäßchirurgie, Mainz
  • Christian F. Vahl - Universitätsmedizin Mainz, Klinik für Herz, Thorax- und Gefäßchirurgie, Mainz

Deutsche Gesellschaft für Thoraxchirurgie. 21. Jahrestagung der Deutschen Gesellschaft für Thoraxchirurgie. Karlsruhe, 27.-29.09.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocFV 1.6

doi: 10.3205/12dgt44, urn:nbn:de:0183-12dgt449

Published: September 17, 2012

© 2012 Senbaklavaci et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: The aim of this study was to evaluate the impact of cardiac comorbidity on the perioperative morbidity and mortality after major pulmonary resection for lung cancer in patients aged 70 years and older.

Methods: The medical records of 73 patients ≥70 years, who underwent major pulmonary resection for non-small cell lung cancer (NSCLC) from 2003 to 2011 at our department, were reviewed retrospectively. Twentyfour patients with a mean age of 76.1 years had cardiac comorbidities (Group A) including previous cardiac operations in 5 patients, previous myocardial infarction in 5 patients, previous coronary stent insertion in 3 patients, medically treated coronary artery disease in 11 patients and medically treated valvular heart disease in 2 patients whereas 49 patients (mean age=74.4 years) had no previous cardiac history (Group B).

Results: There were no significant differences in postoperative morbidity (16.7% in Group A vs. 20.4% in Group B) and mortality (4.2% in Group A vs. 2.0% in Group B) between both groups.

Conclusion: Major pulmonary resections for NSCLC can be performed safely in elderly patients with cardiac comorbidity who are fulfilling the common criteria of operability so that surgery should remain the mainstay of treatment for early-stage NSCLC in this increasing subpopulation.