Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy
Introduction. Octogenarians are at increased risk for complications after lung resection. With alternatives such as radiation, understanding the risks of surgery and associated survival are valuable. Data grading the severity of complications and long-term survival in this population is lacking. We...
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Wiley
2017-01-01
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| Series: | Canadian Respiratory Journal |
| Online Access: | http://dx.doi.org/10.1155/2017/6294895 |
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| author | Andrew Feczko Elizabeth McKeown Jennifer L. Wilson Brian E. Louie Ralph W. Aye Jed A. Gorden Eric Vallières Alexander S. Farivar |
| author_facet | Andrew Feczko Elizabeth McKeown Jennifer L. Wilson Brian E. Louie Ralph W. Aye Jed A. Gorden Eric Vallières Alexander S. Farivar |
| author_sort | Andrew Feczko |
| collection | DOAJ |
| description | Introduction. Octogenarians are at increased risk for complications after lung resection. With alternatives such as radiation, understanding the risks of surgery and associated survival are valuable. Data grading the severity of complications and long-term survival in this population is lacking. We reviewed our experience with lobectomy in octogenarians, grading complications using a validated thoracic morbidity and mortality schema. Methods. We retrospectively reviewed consecutive patients aged ≥80 undergoing lobectomy between 2004 and 2012. Demographics, clinical/pathologic stage, complications, recurrence, and mortality were collected. Complications were graded by the Seely thoracic morbidity and mortality model. Results. 45 patients (mean age 82.2 years) were analyzed. The majority of patients (28/45, 62%) were clinical stage IA/IB. 62% (28/45) of patients experienced a complication. Only 15.6% (7/45) were considered significantly morbid (≥ grade IIIB) per the Seely model. Perioperative mortality was 2% and half of patients were living at a follow-up of 53 months. Overall five-year survival was 52%. Conclusions. In carefully selected octogenarians, lobectomy carries a 15.6% rate of significantly morbid complications with encouraging overall survival. These data provide the basis for a more complete discussion with patients regarding lobectomy for lung cancer. |
| format | Article |
| id | doaj-art-5c63375eb467468f8a60af4e18e2e2e3 |
| institution | OA Journals |
| issn | 1198-2241 1916-7245 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Respiratory Journal |
| spelling | doaj-art-5c63375eb467468f8a60af4e18e2e2e32025-08-20T02:05:43ZengWileyCanadian Respiratory Journal1198-22411916-72452017-01-01201710.1155/2017/62948956294895Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary LobectomyAndrew Feczko0Elizabeth McKeown1Jennifer L. Wilson2Brian E. Louie3Ralph W. Aye4Jed A. Gorden5Eric Vallières6Alexander S. Farivar7Division of Thoracic and Foregut Surgery, Swedish Medical Center and Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USASurgical Specialists of Charlotte, 2001 Vail Ave., Suite 320, Charlotte, NC 28207, USADepartment of Surgery, Chest Disease Center, Beth Israel Deaconess Medical Center, 185 Pilgrim Road, Suite 201, Boston, MA 02215, USADivision of Thoracic and Foregut Surgery, Swedish Medical Center and Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USADivision of Thoracic and Foregut Surgery, Swedish Medical Center and Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USADivision of Thoracic and Foregut Surgery, Swedish Medical Center and Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USADivision of Thoracic and Foregut Surgery, Swedish Medical Center and Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USADivision of Thoracic and Foregut Surgery, Swedish Medical Center and Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USAIntroduction. Octogenarians are at increased risk for complications after lung resection. With alternatives such as radiation, understanding the risks of surgery and associated survival are valuable. Data grading the severity of complications and long-term survival in this population is lacking. We reviewed our experience with lobectomy in octogenarians, grading complications using a validated thoracic morbidity and mortality schema. Methods. We retrospectively reviewed consecutive patients aged ≥80 undergoing lobectomy between 2004 and 2012. Demographics, clinical/pathologic stage, complications, recurrence, and mortality were collected. Complications were graded by the Seely thoracic morbidity and mortality model. Results. 45 patients (mean age 82.2 years) were analyzed. The majority of patients (28/45, 62%) were clinical stage IA/IB. 62% (28/45) of patients experienced a complication. Only 15.6% (7/45) were considered significantly morbid (≥ grade IIIB) per the Seely model. Perioperative mortality was 2% and half of patients were living at a follow-up of 53 months. Overall five-year survival was 52%. Conclusions. In carefully selected octogenarians, lobectomy carries a 15.6% rate of significantly morbid complications with encouraging overall survival. These data provide the basis for a more complete discussion with patients regarding lobectomy for lung cancer.http://dx.doi.org/10.1155/2017/6294895 |
| spellingShingle | Andrew Feczko Elizabeth McKeown Jennifer L. Wilson Brian E. Louie Ralph W. Aye Jed A. Gorden Eric Vallières Alexander S. Farivar Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy Canadian Respiratory Journal |
| title | Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy |
| title_full | Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy |
| title_fullStr | Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy |
| title_full_unstemmed | Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy |
| title_short | Assessing Survival and Grading the Severity of Complications in Octogenarians Undergoing Pulmonary Lobectomy |
| title_sort | assessing survival and grading the severity of complications in octogenarians undergoing pulmonary lobectomy |
| url | http://dx.doi.org/10.1155/2017/6294895 |
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