Outcome of hepatectomy in super-elderly patients with hepatocellular carcinoma

被引：45
作者：
Yamada, Shinichiro [1 ,2 ]
Shimada, Mitsuo [1 ,2 ]
Miyake, Hidenori [3 ]
Utsunomiya, Tohru [1 ,2 ]
Morine, Yuji [1 ,2 ]
Imura, Satoru [1 ,2 ]
Ikemoto, Tetsuya [1 ,2 ]
Mori, Hiroki [1 ,2 ]
Hanaoka, Jun [1 ,2 ]
Iwahashi, Shuichi [1 ,2 ]
Saito, Yu [1 ,2 ]
机构：
[1] Univ Tokushima, Grad Sch Med, Inst Hlth Biosci, Dept Digest Surg, Kuramoto, Japan
[2] Univ Tokushima, Grad Sch Med, Inst Hlth Biosci, Dept Transplant Surg, Kuramoto, Japan
[3] Tokushima Municipal Hosp, Dept Surg, Tokushima, Japan
来源：
HEPATOLOGY RESEARCH | 2012年 / 42卷 / 05期
关键词：
hepatectomy; hepatocellular carcinoma; super-elderly patients; AGED; 75; YEARS; HEPATIC RESECTION; LIVER RESECTION; CIRRHOTIC-PATIENTS; OLDER; SURGERY;
D O I：
10.1111/j.1872-034X.2011.00952.x
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Aim: The aim of this study was to investigate the characteristics of super-elderly hepatocellular carcinoma (HCC) patients aged 80 years or more who underwent hepatectomy and to clarify whether elderly patients with HCC benefit from hepatectomy. Methods: Between March 1992 and December 2008, 278 patients who underwent curative hepatectomy for HCC were investigated. Super-elderly patients were defined as those aged 80 years or more. Clinicopathological data and outcomes after hepatectomy were compared between super-elderly and non-super-elderly groups. Results: Preoperative parameters, such as biochemical examinations, and liver function tests in the non-super-elderly group were comparable with those of the super-elderly group (n = 11). Exceptionally, albumin level in the super-elderly group was lower than that in the non-super-elderly group (P = 0.03). Surgical data and the prevalence of postoperative complications did not differ significantly between the two groups. No mortality was observed in the super-elderly and non-super-elderly group. Conclusions: Hepatectomy for HCC was a feasible option even in super elderly patients aged 80 years or older with accurate selection.
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页码：454 / 458
页数：5
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