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                    0 => array:2 [
                      "titulo" => "Surgical results of stage I non-small cell lung cancer&#58; comparison between elderly and younger patients"
                      "autores" => array:1 [
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                          "autores" => array:6 [
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                            3 => "A Garc&#237;a Zarza"
                            4 => "J Pastor Guill&#233;n"
                            5 => "E Blasco Armengod"
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                        ]
                      ]
                    ]
                  ]
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                        "paginaInicial" => "21"
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                      "titulo" => "Surgical strategy for clinical stage I non-small cell lung cancer in octogenarians"
                      "autores" => array:1 [
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                          "autores" => array:6 [
                            0 => "T Aoki"
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                            2 => "T Watanabe"
                            3 => "T Hashimoto"
                            4 => "T Koike"
                            5 => "T Hirono"
                          ]
                        ]
                      ]
                    ]
                  ]
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                  ]
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              ]
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                    0 => array:2 [
                      "titulo" => "Similar long-term survival of elderly patients with non-small cell lung cancer treated with lobectomy or wedge resection within the surveillance&#44; epidemiology&#44; and end results database"
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                          "autores" => array:5 [
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                            2 => "R Bueno"
                            3 => "YL Colson"
                            4 => "DJ Linden Sugarbaker"
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                        ]
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                          "autores" => array:6 [
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                            2 => "N Nogami"
                            3 => "A Bessho"
                            4 => "Y Segawa"
                            5 => "Shinkai"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                      "doi" => "10.1378/chest.128.3.1557"
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              "etiqueta" => "6"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Predicting pulmonary complications after pneumonectomy for lung cancer"
                      "autores" => array:1 [
                        0 => array:2 [
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                          "autores" => array:5 [
                            0 => "FJ Algar"
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                            2 => "A Salvatierra"
                            3 => "C Baamonde"
                            4 => "FJ Aranda L&#243;pez Pujol"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                        "paginaFinal" => "208"
                        "link" => array:1 [
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                    0 => array:2 [
                      "titulo" => "Valoraci&#243;n del riesgo quir&#250;rgico en cirug&#237;a de t&#243;rax Par&#225;metros del riesgo quir&#250;rgico"
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                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Bronconeumol"
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                        "paginaFinal" => "37"
                        "link" => array:1 [
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                      ]
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                  ]
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              "etiqueta" => "8"
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                    0 => array:2 [
                      "titulo" => "Valoraci&#243;n del riego quir&#250;rgico en cirug&#237;a de t&#243;rax Factores de riesgo"
                      "autores" => array:1 [
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                          "autores" => array:4 [
                            0 => "JL Bravo Bravo"
                            1 => "F Heras G&#243;mez"
                            2 => "F Gonz&#225;lez-Aragoneses"
                            3 => "JJ Rivas de Andr&#233;s"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
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            ]
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              "etiqueta" => "9"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Normativa sobre valoraci&#243;n del riesgo quir&#250;rgico en el carcinoma broncog&#233;nico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
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                            1 => "JA Barber&#225;-Mir"
                            2 => "R Cordovilla-P&#233;rez"
                            3 => "JL Duque Medina"
                            4 => "A L&#243;pez-Encuentra"
                            5 => "L Puente-Maestu"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2005"
                        "volumen" => "41"
                        "paginaInicial" => "686"
                        "paginaFinal" => "697"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16373045"
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              "etiqueta" => "10"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Pulmonary resection for lung cancer in octogenarians"
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                          "autores" => array:3 [
                            0 => "S Pagni"
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                            2 => "RB Ponn"
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                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1997"
                        "volumen" => "63"
                        "paginaInicial" => "785"
                        "paginaFinal" => "789"
                        "link" => array:1 [
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "JL Port"
                            1 => "M Kent"
                            2 => "RJ Korst"
                            3 => "PC Lee"
                            4 => "MA Levin"
                            5 => "RD Fliede"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.126.3.733"
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                        "tituloSerie" => "Chest"
                        "fecha" => "2004"
                        "volumen" => "126"
                        "paginaInicial" => "733"
                        "paginaFinal" => "738"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15364749"
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                          ]
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                ]
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              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Pulmonary resection in octogenarians with stage I nonsmall cell lung cancer&#58; a 22 year experience"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "MV Brock"
                            1 => "MP Kim"
                            2 => "CH Hooker"
                            3 => "AJ Alberg"
                            4 => "MM Jordan"
                            5 => "CM Roig"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "2004"
                        "volumen" => "77"
                        "paginaInicial" => "271"
                        "paginaFinal" => "277"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14726077"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comorbidity in operable lung cancer&#46; A multicenter descriptive study on 2992 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A L&#243;pez-Encuentra"
                            1 => "Bronchogenic Carcinoma Co-operative Group"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lung Cancer"
                        "fecha" => "2002"
                        "volumen" => "35"
                        "paginaInicial" => "263"
                        "paginaFinal" => "269"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11844600"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Valoraci&#243;n del riesgo quir&#250;rgico en cirug&#237;a de t&#243;rax&#46; Valoraci&#243;n del riesgo quir&#250;rgico&#46; &#205;ndices de riesgo en cirug&#237;a tor&#225;cica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J Freixinet Gilart"
                            1 => "L Lago Viguera"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2004"
                        "volumen" => "40"
                        "numero" => "Supl 5"
                        "paginaInicial" => "45"
                        "paginaFinal" => "50"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16137458"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumonectomy for bronchogenic carcinoma in the elderly"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J Au"
                            1 => "R El-Oakley"
                            2 => "EWJ Cameron"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Cardiothorac Surg"
                        "fecha" => "1994"
                        "volumen" => "8"
                        "paginaInicial" => "247"
                        "paginaFinal" => "250"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8043286"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Early post-pneumonectomy complications in the elderly"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "W Dyszkiewicz"
                            1 => "K Pawlak"
                            2 => "L Gasiorowski"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Cardiothorac Surg"
                        "fecha" => "2000"
                        "volumen" => "17"
                        "paginaInicial" => "246"
                        "paginaFinal" => "250"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10758383"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Survival and prognosis after pneumonectomy for lung cancer in the elderly"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "Y Mizushima"
                            1 => "H Noto"
                            2 => "S Sugiyama"
                            3 => "Y Kusajima"
                            4 => "R Yamashita"
                            5 => "T Kashii"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1997"
                        "volumen" => "64"
                        "paginaInicial" => "193"
                        "paginaFinal" => "198"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9236359"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
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Vol. 42. Issue 12.
Pages 663-665 (December 2006)
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Vol. 42. Issue 12.
Pages 663-665 (December 2006)
Case Reports
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Pneumonectomy in Octogenarian Patients
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José Padilla
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jpadilla@comv.es

Correspondence: Dr. J. Padilla. Servicio de Cirugía Torácica. Hospital Universitario La Fe. Avda. de Campanar, 21. 46009 Valencia. España
, Juan Carlos Peñalver, Carlos Jordá, Juan Escrivá, José Cerón, Eduardo Blasco
Servicio de Cirugía Torácica, Hospital Universitario La Fe, Valencia, Spain
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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.

Key words:
Pneumonectomy
Octogenarian
Bronchogenic carcinoma

En las últimas décadas hemos asistido a un progresivo en-vejecimiento 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 morbimor-talidad 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 epi-dermoide en 5 casos y carcinoide típico en el restante, sin mortalidad perioperatoria, con una morbilidad asumible y una supervivencia aceptable.

Palabras clave:
Neumonectomía
Octogenario
Carcinoma bron-cogénico
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REFERENCES
[1]
Instituto Nacional de Estadística.
[2]
K Yamamoto, J Padilla Alarcón, V Calvo Medina, A García Zarza, J Pastor Guillén, E Blasco Armengod, et al.
Surgical results of stage I non-small cell lung cancer: comparison between elderly and younger patients.
Eur J Cardiothorac Surg, 23 (2003), pp. 21-25
[3]
T Aoki, M Tsuchida, T Watanabe, T Hashimoto, T Koike, T Hirono, et al.
Surgical strategy for clinical stage I non-small cell lung cancer in octogenarians.
Eur J Cardiothorac Surg, 23 (2003), pp. 446-450
[4]
CM Mery, AN Pappas, R Bueno, YL Colson, DJ Linden Sugarbaker, et al.
Similar long-term survival of elderly patients with non-small cell lung cancer treated with lobectomy or wedge resection within the surveillance, epidemiology, and end results database.
Chest, 128 (2005), pp. 237-245
[5]
S Sawada, E Komori, N Nogami, A Bessho, Y Segawa, Shinkai, et al.
Advanced age is not correlated with either short-term long-term postoperative results in lung cancer patients in good clinical condition.
Chest, 128 (2005), pp. 1557-1563
[6]
FJ Algar, A Álvarez, A Salvatierra, C Baamonde, FJ Aranda López Pujol.
Predicting pulmonary complications after pneumonectomy for lung cancer.
Eur J Cardiothorac Surg, 23 (2003), pp. 201-208
[7]
W Pum.
Valoración del riesgo quirúrgico en cirugía de tórax Parámetros del riesgo quirúrgico.
Arch Bronconeumol, 40 (2004), pp. 33-37
[8]
JL Bravo Bravo, F Heras Gómez, F González-Aragoneses, JJ Rivas de Andrés.
Valoración del riego quirúrgico en cirugía de tórax Factores de riesgo.
Arch Bronconeumol, 40 (2004), pp. 38-44
[9]
G Varela-Simó, JA Barberá-Mir, R Cordovilla-Pérez, JL Duque Medina, A López-Encuentra, L Puente-Maestu.
Normativa sobre valoración del riesgo quirúrgico en el carcinoma broncogénico.
Arch Bronconeumol, 41 (2005), pp. 686-697
[10]
S Pagni, JA Federico, RB Ponn.
Pulmonary resection for lung cancer in octogenarians.
Ann Thorac Surg, 63 (1997), pp. 785-789
[11]
JL Port, M Kent, RJ Korst, PC Lee, MA Levin, RD Fliede, et al.
Surgical resection for lung cancer in the octogenarian.
Chest, 126 (2004), pp. 733-738
[12]
MV Brock, MP Kim, CH Hooker, AJ Alberg, MM Jordan, CM Roig, et al.
Pulmonary resection in octogenarians with stage I nonsmall cell lung cancer: a 22 year experience.
Ann Thorac Surg, 77 (2004), pp. 271-277
[13]
A López-Encuentra, Bronchogenic Carcinoma Co-operative Group.
Comorbidity in operable lung cancer. A multicenter descriptive study on 2992 patients.
Lung Cancer, 35 (2002), pp. 263-269
[14]
J Freixinet Gilart, L Lago Viguera.
Valoración del riesgo quirúrgico en cirugía de tórax. Valoración del riesgo quirúrgico. Índices de riesgo en cirugía torácica.
Arch Bronconeumol, 40 (2004), pp. 45-50
[15]
J Au, R El-Oakley, EWJ Cameron.
Pneumonectomy for bronchogenic carcinoma in the elderly.
Eur J Cardiothorac Surg, 8 (1994), pp. 247-250
[16]
W Dyszkiewicz, K Pawlak, L Gasiorowski.
Early post-pneumonectomy complications in the elderly.
Eur J Cardiothorac Surg, 17 (2000), pp. 246-250
[17]
Y Mizushima, H Noto, S Sugiyama, Y Kusajima, R Yamashita, T Kashii, et al.
Survival and prognosis after pneumonectomy for lung cancer in the elderly.
Ann Thorac Surg, 64 (1997), pp. 193-198
Copyright © 2006. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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