Premium
Short‐ and long‐term outcomes of elderly patients undergoing liver resection for colorectal liver metastasis
Author(s) -
Gandy Robert C.,
Stavrakis Timothy,
Haghighi Koroush S.
Publication year - 2018
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.13690
Subject(s) - medicine , colorectal cancer , hepatectomy , life expectancy , resection , demographics , surgery , metastasis , complication , population , gastroenterology , cancer , sociology , demography , environmental health
Background Metastatic colorectal cancer is a disease of advancing age. Increased life expectancy has dramatically increased the number of older patients being assessed for hepatectomy. The objective of the study is to assess the safety and survival of hepatic resection in older patients, with colorectal liver metastases ( CLM ) and compare that with younger patients. Methods All patients undergoing hepatic resection of CLM were included. Patients were divided in groups, less than 75 and 75 and over. Prospectively collected data on patient demographics and post‐operative complications were retrospectively analysed. Overall survival was calculated in both groups. Results Twenty‐nine patients over the age of 75 underwent hepatic resection for CLM . A total of 158 patients under the age of 75 underwent resection. Overall, 66% of patients received neoadjuvant chemotherapy and 64% underwent major resection. Ninety‐day mortality was 1 out of 29 and 1 out of 158, respectively ( P = 0.15). Overall complication rate was low, 4 out of 29 and 26 out of 158 ( P = 0.45). Median length of stay was similar in the older population, 8.5 versus 8 days ( P = 0.65). Overall 5‐year survival was 58% in the over 75 group and 56% in the under 75 group ( P = 0.31). Conclusion Hepatic resection for CLM can be achieved safely in patients over the age of 75 and with equivalent short‐ and long‐term outcomes.