Lung function changes and complications after lobectomy for XXXX in septuagenarians.

@entity1 @entity2 @entity1030
BACKGROUND: In septuagenarians, lobectomy is the preferable operation, with lower morbidity than for pneumonectomy. However, the 1-year impact of lobectomy on lung function has not been well studied in elderly @entity1 . MATERIALS AND METHODS: Retrospective study including 30 @entity1 70 years or older (study group), 25 @entity1 with @entity1030 ( @entity1030 ) under 70 years (control group 1), and 22 @entity1 under 70 years with normal lung function (control group 2) operated for @entity2 in a 2-year period. The study and control groups were compared related to lung function changes after lobectomy, operative morbidity, and mortality. RESULTS: Postoperative lung function changes in the elderly followed the similar trend as in @entity1 with @entity1030 . There were no significant differences between these two groups related to changes in forced expiratory volume in the first second (FEV   ) and vital capacity (VC). Unlike that, the pattern of the lung function changes in the elderly was significantly different compared with @entity1 with normal lung function. The mean postoperative decrease in FEV    was 14.16% in the elderly, compared with a 29.23% decrease in @entity1 with normal lung function (P < 0.05). In the study and control groups, no @entity1 died within the first 30 postoperative days. The operative morbidity in the elderly group was significantly lower than in @entity1 with @entity1030 (23.3% vs. 60%). CONCLUSIONS: The lung function changes after lobectomy in the elderly are similar to those in @entity1 with @entity1030 . The explanation for such a finding needs further investigation. Despite a high proportion of concomitant diseases, the age itself does not carry a prohibitively high risk of operative mortality and morbidity.
