Liver resection for XXXX in octogenarians.

@entity1 @entity5 @entity3194 @entity160 @entity157
BACKGROUND: Liver resection is risky in @entity1 aged > or = 80 years. Because of short life expectancies and improved nonoperative modalities, the role of liver resection in octogenarians with @entity157 ( @entity157 ) is unclear. METHODS: A retrospective review of the operative results of 260 @entity1 with @entity157 between 1991 and 1997 was performed. According to the age at the time of operation, these @entity1 were divided into 2 groups. Group 1 comprised 21 @entity1 aged > or = 80 years, and group 2 comprised the other 239 younger @entity1 . The backgrounds, pathologic features of the @entity5 , and operative results of the @entity1 were compared. RESULTS: Octogenarians had a higher incidence of associated medical diseases, a higher incidence of negative serum hepatitis B surface antigen, a lower @entity160 level, and a higher @entity3194 retention rate. Although octogenarians had a longer postoperative hospital stay, there were no significant differences between the 2 groups regarding operative morbidity and mortality. The 5-year disease-free and actuarial survival rates for octogenarians and younger @entity1 were 50.6% and 35.3% (P = .15) and 40.9% and 59.3% (P = .46), respectively. CONCLUSION: Under meticulous preoperative assessments and postoperative care, liver resection for @entity157 is justified in selected octogenarians, with short- and long-term results comparable to those of younger @entity1 .
