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Early Outcome of Liver Resections in Octogenarians
R S Bhandari1, G Riddiough2, V Muralidharan2
1Department of Surgery Tribhuvan University Teaching Hospital.
Kathmandu University Medical Journal (KUMJ)
|December 2, 2015
Summary
Liver resections in patients aged 80 and above are feasible and safe in specialized centers. This study found 0% mortality, demonstrating excellent perioperative outcomes for carefully selected elderly patients undergoing liver surgery.
Area of Science:
- Hepatobiliary surgery
- Geriatric surgery
- Surgical oncology
Background:
- Limited data exists on the safety and feasibility of liver resection in patients aged 80 years and older.
- This study addresses the scarcity of information regarding outcomes in this specific elderly demographic.
Purpose of the Study:
- To analyze the perioperative outcomes of liver resections in octogenarians.
- To evaluate the safety and feasibility of these procedures in a single tertiary care hospital over a decade.
Main Methods:
- Retrospective review of medical records for patients aged 80+ who underwent liver resection between 2004 and 2014.
- Analysis of clinicopathological features, indications, resection types, intraoperative parameters, postoperative complications, and outcomes.
- Comparison of findings with existing literature.
Main Results:
- Nineteen patients (11 male, 8 female, max age 85) underwent liver resection, most commonly for colorectal liver metastasis (9 patients).
- Open surgery was predominant; resection types varied from subsegmental to major hepatectomy.
- Postoperative complications included grade II (3), IIIa (4), IIIb (1), and IVa (2); 0% mortality was observed. Prolonged Intensive Care Unit (ICU) stay occurred in only 10.5% of patients.
Conclusions:
- Liver resection can achieve excellent perioperative outcomes in appropriately selected octogenarian patients.
- Specialized tertiary centers are crucial for successful outcomes in this age group.
- The findings support the consideration of liver resection for elderly patients with suitable indications.
