Methodological aspects of angio- and bronchoplastic lobectomies for lung cancer in patients of elderly and old age

Abstract

The purpose of a study: to study the immediate results and surgical aspects of angio- and bronchoplastic lobectomy for non-small cell lung cancer in elderly and senile patients, as well as to identify the features of their perioperative support.Material and methods. The results of treatment of 63 patients with non-small cell lung cancer older than 60 years after angio- and/or bronchoplastic lobectomy were analyzed. The average age of the patients was (71.4 ± 5.1) years old. The oldest patient at the time of surgery was 82 years old. The majority (93.6%) of patients had one or more concomitant diseases, among them bronchopulmonary and cardiovascular pathologies were most often detected.Results. Postoperative complications were recorded in 22 (34.9%) patients, mortality was 6.35%. The incidence of complications that did not require surgical correction was 6.3%. Prolonged air discharge through the drainage was registered in 11.1% of patients. In 2 cases (3.2%), prolonged air release and delayed expansion of the lung led to the formation of residual pleural cavity with infection. Critical complications were recorded in 4 cases (6.3%), and in 4 (6.3%) patients they caused a lethal outcome. Among them, the leading place is occupied by the failure of the bronchial suture and cardiac arrhythmias.Conclusion. Angio- and bronchoplastic anatomical resections in patients of the older age group are accompanied by a number of technical features and specifics of perioperative curation due to age-related changes and comorbidities.