Outcomes of hepatectomy for hepatocellular carcinoma in elderly patients: a single-center study

被引:0
作者
Pham, Anh The [1 ]
Truong, Cuong Manh [1 ]
Trinh, Phuong Huy [1 ]
Vu, Toan Quang [2 ]
Pham, Hoan My [3 ]
机构
[1] Vietnam Natl Canc Hosp, Dept Hepatobiliary & Pancreat Surg, Hanoi, Vietnam
[2] Vietnam Natl Canc Hosp, Dept Internal Med 3, Hanoi 12500, Vietnam
[3] Vin Univ, Coll Hlth Sci, Hanoi, Vietnam
关键词
elderly; hepatectomy; hepatocellular carcinoma; LIVER RESECTION; TERM OUTCOMES;
D O I
10.1097/IO9.0000000000000149
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Our study aims to evaluate the early outcome of hepatectomy for hepatocellular carcinoma in elderly patients, compared with younger age groups, thereby assessing the feasibility of this technique in this vulnerable population. Methods: A retrospective analysis of 332 cases undergoing hepatectomy performed at a single center. Preoperative assessment, intraoperative variables, and postoperative outcomes were recorded and analyzed. Results: The mean age was 56.6 years old. 184 cases < 60 years old were compared with 148 cases >= 60. There was no significant difference in the rate of major hepatectomy performed in either age group. While comorbidities were more significantly associated with patients over 60, postoperative complications were not different between the two groups. Subgroup analysis of major hepatectomy revealed the same result of insignificant distinction. Conclusion: Hepatectomy, even major hepatectomy, was safe and feasible in the elderly.
引用
收藏
页码:797 / 801
页数:5
相关论文
共 12 条
[1]   Liver resection in the elderly: A retrospective cohort study of 460 patients - Feasible and safe [J].
Andert, Anne ;
Lodewick, Toine ;
Ulmer, Tom Florian ;
Schmeding, Max ;
Schoening, Wenzel ;
Neumann, Ulf ;
Dejong, Kees ;
Heidenhain, Christoph .
INTERNATIONAL JOURNAL OF SURGERY, 2016, 28 :126-130
[2]   Improved Long-Term Survival after Major Resection for Hepatocellular Carcinoma: A Multicenter Analysis Based on a New Definition of Major Hepatectomy [J].
Andreou, Andreas ;
Vauthey, Jean-Nicolas ;
Cherqui, Daniel ;
Zimmitti, Giuseppe ;
Ribero, Dario ;
Truty, Mark J. ;
Wei, Steven H. ;
Curley, Steven A. ;
Laurent, Alexis ;
Poon, Ronnie T. ;
Belghiti, Jacques ;
Nagorney, David M. ;
Aloia, Thomas A. .
JOURNAL OF GASTROINTESTINAL SURGERY, 2013, 17 (01) :66-77
[3]   Trends and predictors of outcomes after surgery for hepatocellular carcinoma: A nationwide population-based study in Taiwan [J].
Chiu, C. -C. ;
Wang, J. -J. ;
Chen, Y. -S. ;
Chen, J. -J ;
Tsai, T. -C. ;
Lai, C. -C. ;
Sun, D. -P. ;
Shi, H. -Y. .
EJSO, 2015, 41 (09) :1170-1178
[4]   The Clavien-Dindo Classification of Surgical Complications Five-Year Experience [J].
Clavien, Pierre A. ;
Barkun, Jeffrey ;
de Oliveira, Michelle L. ;
Vauthey, Jean Nicolas ;
Dindo, Daniel ;
Schulick, Richard D. ;
de Santibanes, Eduardo ;
Pekolj, Juan ;
Slankamenac, Ksenija ;
Bassi, Claudio ;
Graf, Rolf ;
Vonlanthen, Rene ;
Padbury, Robert ;
Cameron, John L. ;
Makuuchi, Masatoshi .
ANNALS OF SURGERY, 2009, 250 (02) :187-196
[5]   Minor versus major hepatic resection for small hepatocellular carcinoma (HCC) in cirrhotic patients: A 20-year experience [J].
Dahiya, Divya ;
Wu, Ting-Jung ;
Lee, Chen-Fang ;
Chan, Kun-Ming ;
Lee, Wei-Chen ;
Chen, Miin-Fun .
SURGERY, 2010, 147 (05) :676-685
[6]   Short- and Long-Term Outcomes After Hepatectomy in Elderly Patients with Hepatocellular Carcinoma: An Analysis of 229 Cases from a Developing Country [J].
Galun, Danijel ;
Bogdanovic, Aleksandar ;
Zivanovic, Marko ;
Zuvela, Marinko .
JOURNAL OF HEPATOCELLULAR CARCINOMA, 2021, 8 :155-165
[7]   Preferred Reporting Of Case Series in Surgery (PROCESS) 2023 guidelines [J].
Mathew, Ginimol ;
Sohrabi, Catrin ;
Franchi, Thomas ;
Nicola, Maria ;
Kerwan, Ahmed ;
Agha, Riaz ;
Ekser, Burcin ;
Mccaul, James ;
Mei, Zubing ;
Pagano, Duilio ;
Raja, Shahzad ;
Kasivisvanathan, Veeru ;
Manning, Todd ;
Surani, Salim ;
Giordano, Salvatore ;
Miguel, Diana ;
Nixon, Iain ;
Bradley, Patrick ;
Raison, Nicholas ;
Thorat, Mangesh ;
Thoma, Achilleas ;
Ngu, James Chi-Yong ;
Albrecht, Joerg ;
Goel, Prabudh ;
Teo, Nan Zun ;
Enam, Syed Ather ;
Kadioglu, Huseyin ;
Pramesh, C. S. ;
Ather, M. Hammad ;
Rivas, Juan Gomez ;
Massarut, Samuele ;
Chalkoo, Mushtaq ;
Pai, Prathamesh ;
Wynn, Rolf ;
Basu, Somprakas ;
Rao, Ashwini ;
Noureldin, Ashraf ;
Coppola, Roberto ;
Bashashati, Mohammad ;
Vasudevan, Baskaran ;
Afifi, Raafat ;
Beamish, Andrew ;
Raveendran, Kandiah ;
Coppola, Alessandro .
INTERNATIONAL JOURNAL OF SURGERY, 2023, 109 (12) :3760-3769
[8]   Short-Term Outcomes following Hepatectomy in Elderly Patients with Hepatocellular Carcinoma: An Analysis of 10,805 Septuagenarians and 2,381 Octo- and Nonagenarians in Japan [J].
Okinaga, Hiroko ;
Yasunaga, Hideo ;
Hasegawa, Kiyoshi ;
Fushimi, Kiyohide ;
Kokudo, Norihiro .
LIVER CANCER, 2018, 7 (01) :55-64
[9]   Effect of Age (over 75 Years) on Postoperative Complications and Survival in Patients Undergoing Hepatic Resection for Hepatocellular Carcinoma [J].
Santambrogio, Roberto ;
Barabino, Matteo ;
Scifo, Giovanna ;
Costa, Mara ;
Giovenzana, Marco ;
Opocher, Enrico .
JOURNAL OF GASTROINTESTINAL SURGERY, 2017, 21 (04) :657-665
[10]   Liver Resection in the Elderly: Significance of Comorbidities and Blood Loss [J].
Schiergens, Tobias S. ;
Stielow, Carsta ;
Schreiber, Stefanie ;
Hornuss, Cyrill ;
Jauch, Karl-Walter ;
Rentsch, Markus ;
Thasler, Wolfgang E. .
JOURNAL OF GASTROINTESTINAL SURGERY, 2014, 18 (06) :1161-1170