Related Experiment Videos
Oesophagogastrectomy in patients over 70
D D Muehrcke1, D K Kaplan, R J Donnelly
1Regional Adult Cardiothoracic Unit, Broadgreen Hospital, Liverpool.
Thorax
|February 1, 1989
Summary
Oesophageal resection in patients over 70 years old has an acceptable operative mortality. A multifactorial risk score can help select elderly patients for oesophagogastrectomy, improving surgical outcomes.
Area of Science:
- Surgery
- Geriatric Medicine
- Oncology
Background:
- Outcomes of oesophageal resection in patients over 70 are not well defined.
- Risk of operative death and long-term survival require further investigation in this demographic.
Purpose of the Study:
- To review the outcome of oesophageal resection in patients aged 70 years and older.
- To assess the operative mortality, morbidity, and survival rates in this patient group.
Main Methods:
- Retrospective review of 46 patients aged 70+ undergoing oesophageal resection over seven years.
- Analysis of operative mortality, causes of death, and preoperative risk factors.
- Use of EEA stapler for anastomosis in most cases.
Main Results:
- Overall operative mortality was 13% (6 of 46 patients).
- Patients aged 75 and over had a lower mortality rate (1 of 16).
- Cardiopulmonary complications were the primary cause of operative deaths. A multifactorial risk score differentiated survivors (mean score 3.66) from non-survivors (mean score 15.2).
Conclusions:
- Oesophagogastrectomy can be performed in selected patients over 70 with acceptable outcomes.
- A multifactorial risk score may aid in patient selection for oesophageal surgery in the elderly.
- Careful patient selection is crucial for optimizing results in geriatric oesophageal surgery.