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Abstract
Background. Thirty-two patients who were 70 years of age or older underwent hepatic resection
in the treatment of hepatocellular carcinoma. There were 25 men and 7 women. Age ranged
from 70 to 84 years, averaging 74 ± 3 years (mean ± SD). Underlying liver diseases
were associated in all patients but one, cirrhosis of the liver in 22, and chronic
hepatitis in nine.
Methods and Results. The operative mortality rate within 1 month was 12.5%, and the overall in-hospital
death rate was 18.8%. The 5-year survival rate was 17.6% for all patients and 24.3%
when six hospital deaths were excluded. The Child's grade was a good predictor for
early and late morbidity and death, the 5-year survival rate of patients with Child's
class A disease being 30%. Retrospective comparisons were conducted between the current
patients and patients younger than 50 years old who had been operated on during the
same period: resectability rate, 61.5% versus 57.8%; hospital mortality rate, 18.8%
versus 11.6%; and 5-year survival rate, 24.3% versus 48.6%, respectively.
Conclusions. These results seem to indicate that the treatment policy of hepatocellular carcinoma
in the aged should be identical to that in young people.
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Article info
Publication history
Accepted:
October 6,
1991
Identification
Copyright
© 1993 Published by Elsevier Inc.
