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Current Geriatrics Reports

, Volume 6, Issue 3, pp 127–132 | Cite as

Hepatobiliary Oncologic Surgery in the Elderly

  • Winifred Lo
  • Jeffrey J. SussmanEmail author
Surgical Care for the Geriatric Patient (F Luchette and R Gonzalez, Section Editors)
  • 38 Downloads
Part of the following topical collections:
  1. Topical Collection on Surgical Care for the Geriatric Patient

Abstract

Purpose of Review

This review aims to describe the treatment and outcomes in the perioperative management of elderly patients undergoing hepatic surgery for cancer.

Recent Findings

There is a broad perception that elderly patients are more frail and less able to tolerate major resection. They are therefore offered surgery less often than younger patients. Elderly patients can tolerate major hepatectomies with comparable length of surgery, rate of transfusion, and length of hospital stay as younger patients. However, they are more apt to develop significant cardiopulmonary complications and require discharge to an acute care facility. When matched for tumor stage, disease-specific survival is similar to younger patients.

Summary

Contrary to what is sometimes perceived, elderly patients can tolerate major hepatic resection. However, this requires careful patient selection and preoperative evaluation, as elderly patients are more prone to complications, concerns related to quality of life outcomes and perioperative mortality.

Keywords

Hepatic surgery Biliary surgery Elderly Oncology 

Notes

Compliance with Ethical Standards

Conflict of Interest

Jeffrey Sussman and Winifred Lo declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Cincinnati Medical CenterCincinnatiUSA

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