Validity of Hepatic or Pancreatic Resection for Elderly Patients Aged 85 Years or Older at a Single Community Hospital in Japan.
AIM
To evaluate the efficacy of age on the surgical outcomes in hepatic or pancreatic resection.


PATIENTS AND METHODS
We performed 50 hepatic or pancreatic resections in our community hospital and divided them into 2 groups based on age: patients aged ≥85 years old and patients aged <85 years old. We calculated the Estimation of Physiologic Ability and Surgical Stress (E-PASS) score and the Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity (POSSUM) system and compared the surgical outcome between the two groups.


RESULTS
There was no significant difference between the two groups with regard to E-PASS and POSSUM scores. Patients aged ≥85 years had a significantly higher frequency of anti-platelet agents. The incidence of postoperative complications and mortality in patients ≥85 years old were comparable to those in patients aged <85 years old.


CONCLUSION
Hepatic or pancreatic resection for elderly patients aged 85 years or older can be safely performed under a given careful patient selection.
['Itoh|Shinji|S|', 'Kohnoe|Shunji|S|', 'Shirabe|Ken|K|', 'Yoshida|Daisuke|D|', 'Kawanaka|Hirofumi|H|', 'Yoshizumi|Tomoharu|T|', 'Ikegami|Toru|T|', 'Yamashita|Yo-Ichi|Y|', 'Kurihara|Takeshi|T|', 'Maehara|Yoshihiko|Y|']
D000328:Adult D000368:Aged D000369:Aged, 80 and over D005260:Female D006498:Hepatectomy D006764:Hospitals, Community D006801:Humans D007564:Japan D008113:Liver Neoplasms D008297:Male D008875:Middle Aged D009017:Morbidity D010180:Pancreatectomy D010190:Pancreatic Neoplasms D011183:Postoperative Complications D018570:Risk Assessment D012307:Risk Factors
elderly patient E-PASS POSSUM HPB Surgery