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Liver resection in octogenarians: are the outcomes worth the risk?
Author(s) -
Gupta Aashray K.,
Kanhere Harsh A.,
Maddern Guy J.,
Trochsler Markus I.
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.14475
Subject(s) - medicine , life expectancy , perioperative , quality of life (healthcare) , hepatocellular carcinoma , liver disease , surgery , retrospective cohort study , resection , general surgery , population , environmental health , nursing
Background Australian life expectancy is high by world standards, largely because of advanced health care. It is therefore important to determine safety and oncological benefits of major surgical procedures in the elderly. This retrospective review examines outcomes of liver resection in octogenarians. Methods Data on all liver resections performed at The Queen Elizabeth Hospital were collected in a prospective database. The primary aim was to determine overall and disease‐free survival, and secondary aim to assess perioperative quality of life (QoL) and functionality outcomes using surrogate markers. Results Twenty‐four octogenarians underwent 26 liver resections for colorectal liver metastases ( n = 20), hepatocellular carcinoma ( n = 4), cholangiocarcinoma ( n = 1) and benign lesion ( n = 1). Median hospital stay was 11 days. There were no major post‐operative complications and only one patient experienced a decline in QoL. There was no 90‐day mortality. Five‐year overall survival and 5‐year disease‐free survival were 47% and 37%, respectively. Median duration of follow‐up was 34 months. Conclusion Liver resection can be performed safely in octogenarians with low morbidity, excellent overall survival and good QoL outcomes.