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Surgical procedures in centenarians.

T H Cogbill¹, P J Strutt, J Landercasper

¹Department of Surgery, Gundersen Clinic, Ltd., La Crosse, WI 54601.

Wisconsin Medical Journal

|September 1, 1992

Summary

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Surgical procedures in patients aged 100 and older are feasible. Selected centenarian patients demonstrated acceptable outcomes following surgery, with a 69% one-year survival rate.

Area of Science:

Geriatric Surgery
Surgical Outcomes in the Elderly
Centenarian Health

Background:

Surgical intervention in centenarians (patients 100 years or older) is uncommon.
Data on the safety and efficacy of surgical procedures in this extreme age group is limited.

Purpose of the Study:

To evaluate the perioperative and long-term outcomes of surgical procedures performed in patients aged 100 years and older.

Main Methods:

Retrospective review of 16 patients aged 100+ who underwent surgery between 1981 and 1991.
Analysis of procedure types, perioperative mortality, and one-year survival rates.

Main Results:

Sixteen centenarians (11 female, 5 male) underwent various procedures including ophthalmologic, orthopedic, and general surgery.

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One perioperative death (6%) occurred.

The one-year survival rate was 69%.

Conclusions:

Selected centenarian patients can undergo surgical procedures with acceptable perioperative and long-term results.
Geriatric surgical care can be extended to the oldest old with careful patient selection.