Postoperative mortality after cancer surgery in octogenarians and nonagenarians: Results from a series of 5,390 patients

被引：42
作者：
Damhuis R.A.M. [1 ]
Meurs C.J.C. [1 ]
Meijer W.S. [2 ]
机构：
[1] Rotterdam Cancer Registry, 3000 AG Rotterdam
[2] Medical Center Rijnmond-Zuid, Department of Surgery, 3007 AC Rotterdam
来源：
World Journal of Surgical Oncology | / 3卷 / 1期
关键词：
Breast Cancer; Endometrial Cancer; Operative Mortality; Postoperative Mortality; Operative Risk;
D O I：
10.1186/1477-7819-3-71
中图分类号：
学科分类号：
摘要：
Background: To support decisions about surgical treatment of elderly patients with cancer, population-based estimates of postoperative mortality (POM) rates are required. Methods: Electronic records from the Rotterdam Cancer Registry were retrieved for octogenarians and nonagenarians who underwent resection in the period 1987-2000. POM was defined as death within 30 days of resection and both elective and emergency operations were included. Results: In a series of 5.390 operated patients aged 80 years and older, POM rates were 0.5% for breast cancer, 1.7% for endometrial cancer and 4.2% for renal cancer. For patients with colorectal cancer, POM increased from 8% for the age group 80-84 to 13% for those 85-89 to 20% in nonagenarians. For stomach cancer, the respective figures were 11%, 20% and 44%. Conclusion: These results show that resections can be performed at acceptable risk in selected elderly patients with cancer. © 2005 Damhuis et al., licensee BioMed Central Ltd.
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页数：13
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