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Ann Thorac Surg. 2001 Feb;71(2):414-8.

Esophageal resection in elderly esophageal carcinoma patients: improvement in postoperative complications.

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  • 1Second Department of Surgery, Shimane Medical University, Japan. kinugasa@shimane-med.ac.jp

Abstract

BACKGROUND:

Advanced age is considered to be a relative contraindication for radical esophagectomy with a three-field lymph node dissection.

METHODS:

Preoperative risks, postoperative morbidity and mortality, and long-term survival in 55 elderly patients (> or =70 years) who had undergone extensive esophagectomy for esophageal carcinoma were compared with those of 149 younger patients (<70 years).

RESULTS:

Elderly patients had worse preoperative cardiopulmonary function and had more frequent postoperative cardiopulmonary complications compared with younger patients (p < 0.05). The postoperative death rate was not statistically different between the elderly (10.9%) and younger groups (5.4%). When the study period was divided into an early and a late phase, the postoperative death rate dropped significantly (p < 0.05) in recent years (1.4%) when compared with the previous era (10.0%). The overall survival rates were not different between elderly and younger patients.

CONCLUSIONS:

Preoperative cardiopulmonary risk factors and postoperative complications after esophagectomy were more frequently noticed in elderly patients than in younger patients. A dramatic improvement in postoperative death was noticed in recent years. The long-term survival of elderly patients after extended esophagectomy was almost similar to that in younger patients.

PMID:
11235680
[PubMed - indexed for MEDLINE]
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