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[Laparoscopic Liver Resection for Elderly Patients with HCC].
Yoshiaki Ohmura1, Yutaka Takeda, Yoshiteru Katsura
1Dept. of Surgery, Kansai Rosai Hospital.
Laparoscopic liver resection (LLR) is safe for patients 80 years and older with hepatocellular carcinoma (HCC). Outcomes were comparable to younger patients, suggesting LLR is a viable option for elderly individuals.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic liver resection (LLR) offers advantages like reduced invasiveness and improved cosmesis.
- LLR has become increasingly common, including for elderly patients, since its insurance coverage in April 2010.
Purpose of the Study:
- To evaluate the safety and outcomes of LLR for hepatocellular carcinoma (HCC) in patients aged 80 years and older.
Main Methods:
- A retrospective analysis of 237 LLR cases for HCC performed between June 2010 and March 2016.
- Comparison of outcomes between 35 elderly patients (≥80 years) and non-elderly patients.
Main Results:
- No significant differences were observed in operation time, blood loss, or postoperative hospital stay between elderly and non-elderly groups.
- Three-year disease-free survival rates showed no statistically significant differences across various stages between the two groups.
Conclusions:
- LLR for HCC can be performed safely in patients aged 80 years and older.
- Further research is needed to confirm the specific benefits of LLR for elderly patients compared to younger counterparts.
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