Liver resection for hepatocellular carcinoma in octogenarians.
Liver resection is risky in patients aged >=80 years.
Because of short life expectancies and improved nonoperative modalities, the role of liver resection in octogenarians with hepatocellular carcinoma (HCC) is unclear.
A retrospective review of the operative results of 260 patients with HCC between 1991 and 1997 was performed.
According to the age at the time of operation, these patients were divided into 2 groups.
Group 1 comprised 21 patients aged >=80 years, and group 2 comprised the other 239 younger patients.
The backgrounds, pathologic features of the tumor, and operative results of the patients were compared.
Octogenarians had a higher incidence of associated medical diseases, a higher incidence of negative serum hepatitis B surface antigen, a lower alpha-fetoprotein level, and a higher indocyanine green retention rate.
Although octogenarians had a longer postoperative hospital stay, there were no significant differences between the 2 groups regarding operative morbidity and mortality.
The 5-year disease-free and actuarial survival rates for octogenarians and younger patients were 50.6% and 35.3% (P=15) and 40.9% and 59.3% (P=46), respectively.
Under meticulous preoperative assessments and postoperative care, liver resection for HCC is justified in selected octogenarians, with short-and long-term - results comparable to those of younger patients.
Mots-clés Pascal : Carcinome hépatocellulaire, Etude comparative, Technique, Hépatectomie, Personne âgée, Homme, Age 80-89, Evaluation, Postopératoire, Facteur risque, Survie, Long terme, Chine, Asie, Appareil digestif pathologie, Foie pathologie, Tumeur maligne, Chirurgie
Mots-clés Pascal anglais : Hepatocellular carcinoma, Comparative study, Technique, Hepatectomy, Elderly, Human, Age 80-89, Evaluation, Postoperative, Risk factor, Survival, Long term, China, Asia, Digestive diseases, Hepatic disease, Malignant tumor, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0172479
Code Inist : 002B25G03. Création : 16/11/1999.