RESUMEN
Recent decades have witnessed a progressive aging of the population and a resulting increase in the numbers of elderly patients seeking health care. Since age and pneumonectomy are independent predictors of perioperative morbidity and mortality, such surgery is not recommended for octogenarian patients. We report the experience of 6 such patients who underwent pneumonectomy for squamous cell carcinoma in 5 cases and a typical carcinoid tumor in the sixth. There was no perioperative mortality; morbidity and survival rates were acceptable.
Asunto(s)
Neoplasias Pulmonares/cirugía , Neumonectomía , Anciano de 80 o más Años , Femenino , Humanos , Neoplasias Pulmonares/mortalidad , Masculino , Complicaciones Posoperatorias , Tasa de SupervivenciaRESUMEN
En las últimas décadas hemos asistido a un progresivo envejecimiento de la población, por lo que cada vez es mayor el número de pacientes de edad avanzada que acuden a nuestras consultas. La edad y la práctica de una neumonectomía son factores predictivos independientes de morbimortalidad perioperatoria, por lo que no se aconseja realizar este tipo de cirugía en pacientes octogenarios. Describimos la experiencia de 6 pacientes octogenarios a quienes se realizó una neumonectomía por carcinoma epidermoide en 5 casos y carcinoide típico en el restante, sin mortalidad perioperatoria, con una morbilidad asumible y una supervivencia aceptable
Recent decades have witnessed a progressive aging of the population and a resulting increase in the numbers of elderly patients seeking health care. Since age and pneumonectomy are independent predictors of perioperative morbidity and mortality, such surgery is not recommended for octogenarian patients. We report the experience of 6 such patients who underwent pneumonectomy for squamous cell carcinoma in 5 cases and a typical carcinoid tumor in the sixth. There was no perioperative mortality; morbidity and survival rates were acceptable