[Long-term results of lung cancer surgery in octogenarians].

E Gardet (1) , M Tabutin , S Couraud (2) , J-M Maury , B Guibert (3) , M Nguyen Van (4) , Achille Edem Tchalla (5) , P-J Souquet , F Tronc

1 IREGE - Institut de Recherche en Gestion et en Economie
2 CIRC - IARC - Centre International de Recherche contre le Cancer - International Agency for Research on Cancer
3 Atys Medical
4 Alcatel Lucent Bell Labs
5 HAVAE - Handicap, Activité, Vieillissement, Autonomie, Environnement

This retrospective study was undertaken to evaluate late results of lung cancer surgery in octogenerians. All patients 80years old or more who underwent a lung resection for cancer from 2000 to 2010 at Lyon University Hospital were included. No patients were treated with video-assisted surgery. Wedge resections were excluded. Sixty-three patients (42 men, 21 women) were operated. The median age was 82years. Operative mortality was 4.7%. The rate of perioperative complications was 49%. The late survival was 34% at 5years. Five-year survival by nodal involvement was N0, 36%; N1, 29%; N2 20%, P<0.05. Patients with a squamous cell carcinoma (24) had a better long-term survival than patients with an adenocarcinoma (30), 33% and 25% respectively at 5years, P<0.05. The rate of recurrence was 33.9%. Surgical treatment of lung cancer in selected population of octogenerians is associated with satisfactory early and long-term results. Survival is influenced by nodal involvement and by the pathologic type of the cancer.

Domaines: Médecine humaine et pathologie

E Gardet, M Tabutin, S Couraud, J-M Maury, B Guibert, et al.. [Long-term results of lung cancer surgery in octogenarians].. Revue de Pneumologie Clinique, 2016, 72 (1), pp.3-9. ⟨hal-01285229⟩