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. 2001 Feb;71(2):414-8.
doi: 10.1016/s0003-4975(00)02333-x.

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

S Kinugasa  1 , M Tachibana, H Yoshimura, D K Dhar, M Shibakita, S Ohno, H Kubota, R Masunaga, N Nagasue
Affiliations

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

S Kinugasa et al. Ann Thorac Surg. 2001 Feb.

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.

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