Abstract

VICENTE MEDINA, Maribel L  and  VICENTE DE LA CRUZ, Asbel A. Non-cardiac thoracic surgery in patients older than 60 years: study of 7 years. Rev Cubana Cir [online]. 2009, vol.48, n.2, pp. 0-0. ISSN 1561-2945.

INTRODUCTION: aim of this paper is to assess immediate results of non-cardiac thoracic surgery performed in patients older than 60 years during 7 years (1996 to 2002). METHODS: Authors performed a retrospective study in "Joaquín Albarrán Domínguez" and "Calixto García Iñiguez" Clinical Surgical University Hospital. All patients operated on by non-cardiac thoracic diseases were studied, considering preoperative, transoperative and postoperative behavior as well as patient course, i.e., occurrence of complications, and patient status at discharge. RESULTS: There was a predominance of male patients. In 23, 80% of our patients there was neither positive personal pathological backgrounds nor disease nor risk factors. Diagnoses caused more frequently surgery were lung and esophagus cancer. The more frequent modality of antibiotics use was the combined one. There were complications in 14, 29% of cases, and mortality was of 9, 52%. CONCLUSIONS: Esophagus cancer had worse results regards complications and surgical procedure; most of time we operate on with a palliative or resectable criteria. Sepsis is a significant cause of complication and death in all the cases.

Keywords : Noncardiac thoracic surgery; patients older than 60 years..

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