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(Chest. 1963;44:61-66.)
© 1963 American College of Chest Physicians

Thoracic Surgery in Patients over Seventy

Robert J. Wilder M.D., F.C.C.P.1 and Ronald H. Fishbein M.D.1

1 Department of Surgery, Johns Hopkins University School of Medicine and the Johns Hopkins Hospital, and the Baltimore City Hospitals

We have reviewed the records of all patients 70 years of age and older who underwent intrathoracic operations at the Johns Hopkins Hospital between the years 1952 to 1960. There were 60 patients in this group. One-third of the operations were performed for non-neoplastic disease.

The overall mortality rate was 18.3 per cent with a 30 per cent mortality rate following pneumonectomy, 10.5 per cent following lobectomy, and 13.3 per cent following exploratory thoracotomy for pulmonary carcinoma.

Affections of the pulmonary tract constitute one of the major causes of postoperative morbidity and mortality. A plea is made for better evaluation of the respiratory status of patients in the geriatric age group.






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