Open hepatic resection in the elderly at two tertiary referral centers - 12/08/21
Abstract |
Background |
Surgeons are being increasingly called upon to operate on the very elderly. This study aimed to evaluate outcomes following hepatectomy in patients ≥80 years of age at two tertiary care centers.
Methods |
All adult patients who underwent liver resection from 2001 to 2017 were included. Primary outcome was 90-day postoperative mortality. Secondary outcomes included 30-day postoperative mortality and postoperative complications.
Results |
Between 2001 and 2017, 2397 patients underwent liver resection. On unadjusted analysis, patients ≥80 years of age had higher rates of 90-day mortality (13.3% vs. 3.6%, p < 0.001), 30-day mortality (5.6% vs. 1.8%, p = 0.01), MI (7.9% vs. 3.5%, p = 0.04), and UTI (10.0% vs. 4.5%, p = 0.02). On multivariable analysis, age ≥80 years was significantly associated with 90-day postoperative mortality (OR 4.51, 95%CI 2.11–9.67, p < 0.001).
Conclusions |
Across these two major referral tertiary care centers, very elderly patients had higher rates of 90-day and 30-day postoperative mortality on both unadjusted and adjusted analyses.
Le texte complet de cet article est disponible en PDF.Highlights |
• | This study evaluated outcomes following hepatectomy in the elderly. |
• | A total of 2397 resected patients from two tertiary care centers were included. |
• | Elderly patients had higher complication rates, and 30-day and 90-day mortality. |
• | Age ≥80 years was significantly associated with 90-day postoperative mortality. |
Keywords : Elderly, Octogenarian, Hepatectomy, Liver resection, Morbidity, Mortality
Plan
Vol 222 - N° 3
P. 594-598 - septembre 2021 Retour au numéro
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