摘要
The authors report the results of hepatectomy for primary liver cancer in 31 patients ≥65 years of age.Of 31 patients, subclinical stage amounted to 45.2%(14/31),moderate stage 54.8%(17/31).Left hemihepatectomy was done in 6 cases(19.4%),segmentectomy in 5 cases(16.1%),local resection in 18 cases(58.1%),and cryosurgery in 2 cases(6.5%).There was no operative mortality.The 1-,3-,and 5- year survival rates after operation were 81.8%(18/22),50.0%(3/6),and 25.0%(1/4),respectively.No statistically significant difference war observed in clinicopathologic features between the patients≥65 years of age and the patients <65 years of age.It is suggested that hepatectomy for the elderly is justified in carefully selected patients,and the safety of hepatectomy for the elderly mainly depends on perioperative management and skilled surgical technique.
The authors report the results of hepatectomy for primary liver cancer in 31 patients ≥65 years of age.Of 31 patients, subclinical stage amounted to 45.2%(14/31),moderate stage 54.8%(17/31).Left hemihepatectomy was done in 6 cases(19.4%),segmentectomy in 5 cases(16.1%),local resection in 18 cases(58.1%),and cryosurgery in 2 cases(6.5%).There was no operative mortality.The 1-,3-,and 5- year survival rates after operation were 81.8%(18/22),50.0%(3/6),and 25.0%(1/4),respectively.No statistically significant difference war observed in clinicopathologic features between the patients≥65 years of age and the patients <65 years of age.It is suggested that hepatectomy for the elderly is justified in carefully selected patients,and the safety of hepatectomy for the elderly mainly depends on perioperative management and skilled surgical technique.
