Outcome of hepatectomy in super‐elderly patients with hepatocellular carcinoma

Abstract

Hepatectomy for HCC was a feasible option even in super elderly patients aged 80 years or older with accurate selection.

Effect of Age on Liver Function in Patients Undergoing Partial Hepatectomy

“…Most studies define the ‘elderly' as patients >70 [27,28] or 75 [29], while others use 65 [30] or even 80 [31] years of age. When the elderly are compared with younger patients, practically all studies choose to include all patients above and under a certain age (e.g., comparing patients >75 with patients <75 years) [9,13,27,28,29,31]. Borderline elderly in studies conducted according to such definitions might well affect the clarity of the results and messages as slight differences in age may put patients in different cohorts.…”

Hepatectomy is a reasonable option for older patients with hepatocellular carcinoma

“…safe procedure even in older patients because of improved surgical techniques, better perioperative assessment, and advances in anesthesia and medical care. 14,16,17 Human organ function usually deteriorates with age, and older patients have a high incidence of comorbid illness. In addition, HCC is frequently associated with cirrhosis, which is itself a cause of high mortality and morbidity rates after hepatectomy.…”

Hepatic resection for hepatocellular carcinoma in super-elderly patients aged 80 years and older in the first decade of the 21st century

“…Wu et al [9] initially reported the surgical outcomes of octogenarian patients with Hcc in Taiwan. In Japan, Sirabe et al [10], Yamada et al [7] and Tsujita et al [8] reported on hepatic resection for Hcc in patients aged ≥80 years. nanashima et al [11] reported that the number of patients in the >80-year age group had increased during the period from 2000 to 2009, and significant differences were not observed among the age groups with regard to long-term prognosis.…”

“…In a search of the PubMed database, only a few reports were found that described the outcomes of hepatic resection in Hcc patients aged ≥80 years [7][8][9][10][11]. Wu et al [9] initially reported the surgical outcomes of octogenarian patients with Hcc in Taiwan.…”