Complications of liver resection in geriatric patients



Título del documento: Complications of liver resection in geriatric patients
Revista: Annals of hepatology
Base de datos: PERIÓDICA
Número de sistema: 000406066
ISSN: 1665-2681
Autores: 1
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Instituciones: 1Comenius University, Faculty of Medicine, Martin. Eslovaquia
2Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas. Eslovaquia
Año:
Periodo: Ene-Feb
Volumen: 16
Número: 1
Paginación: 149-156
País: México
Idioma: Inglés
Tipo de documento: Estadística o encuesta
Enfoque: Analítico
Resumen en inglés Liver resection is the treatment of choice for many primary and secondary liver diseases. Most studies in the elderly have reported resection of primary and secondary liver tumors, especially hepatocellular carcinoma and colorectal metastatic cancer. However, over the last two decades, hepatectomy has become safe and is now performed in the older population, implying a paradigm shift in the approach to these patients. Material and methods. We retrospectively evaluated the risk factors for postoperative complications in patients over 65 years of age in comparison with those under 65 years of age after liver resection (n = 360). The set comprised 127 patients older than 65 years (35%) and 233 patients younger than 65 years (65%). Results. In patients younger than 65 years, there was a significantly higher incidence of benign liver tumors (P = 0.0073); in those older than 65 years, there was a significantly higher incidence of metastasis of colorectal carcinoma to the liver (0.0058). In patients older tan 65 years, there were significantly more postoperative cardiovascular complications (P = 0.0028). Applying multivariate analysis, we did not identify any independent risk factors for postoperative complications. The 12-month survival was not significantly different (younger versus older patients), and the 5-year survival was significantly worse in older patients (P = 0.0454). Conclusion. In the case of liver resection, age should not be a contraindication. An individualized approach to the patient and multidisciplinary postoperative care are the important issues
Disciplinas: Medicina
Palabras clave: Cirugía,
Gastroenterología,
Hígado,
Resección,
Complicaciones postoperatorias,
Ancianos,
Hepatectomía,
Tumores
Keyword: Medicine,
Gastroenterology,
Surgery,
Liver,
Resection,
Postoperative complications,
Aged,
Hepatectomy,
Tumors
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