Morel P, Mégevand R
Schweiz Med Wochenschr. 1983 Sep 24;113(38):1350-5.
Review of 88 patients aged over 70 who underwent surgery in this department from 1976 to 1981. 49 lungs and 39 esophaguses have been operated upon, usually for malignant tumors. Average age of the subjects was 75 years (70-90), the sex largely male. Complete follow-up in 88% of patients serves to evaluate the benefits of chest surgery in the elderly. Lobectomy was the most frequent procedure, but 12 pneumonectomies were also performed. The 10% postoperative mortality rate is satisfactory. Two years after surgery, half the patients are still alive without tumor recurrence. Nearly all the patients continued normal existence after the operation. The results of surgery for severe benign lesions of the esophagus (hiatus hernia, diverticula) are very satisfactory. Removal of the cancer improves the quality and length of survival, without a prohibitive postoperative mortality rate. The authors conclude that chest surgery in the elderly is successful and well tolerated.
回顾1976年至1981年在本科室接受手术的88例70岁以上患者。对49例肺部和39例食管进行了手术，通常是针对恶性肿瘤。受试者的平均年龄为75岁（70 - 90岁），男性居多。88%的患者进行了完整随访，以评估老年患者胸部手术的益处。肺叶切除术是最常见的手术方式，但也进行了12例全肺切除术。10%的术后死亡率是令人满意的。术后两年，一半的患者仍存活且无肿瘤复发。几乎所有患者术后都继续正常生活。食管严重良性病变（食管裂孔疝、憩室）的手术效果非常令人满意。切除癌症可提高生存质量和延长生存期，且术后死亡率并不高。作者得出结论，老年患者的胸部手术是成功的，且耐受性良好。
