Surgery in Centenarians

  • Mark R. Katlic


The 100th anniversary of an individual’s birth still bestows an aura, a mystique, as the centenarian is as close to immortality as a human can be. This special prestige has been afforded the imprimatur of scientific study by Baker,2 who found that centenarians represented a striking exception to the inverted U curve of status across the life-span in Western culture. Baker’s data, derived from factorial survey analysis, fit the postulate that there is an “American arc of life” that gives maximum prestige to middle age and least prestige to young and old persons. Centenarians, however, were given unique status nearly equal to that of middle-aged individuals (Fig. 17.1), because “like four leaf clovers or quintuplets, centenarians are rare.” Webb and Williams described a case of acute tenosynovitis of the right wrist and hand (centenarian hand syndrome) resulting from the congratulatory handshakes of many friends and relatives on a man’s 100th birthday.3


Hiatus Hernia Successful Aging Human Longevity Gallbladder Adenocarcinoma Danish Twin 
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  1. 1.
    Beard BB. Centenarians: The New Generation. Greenwood Press: Westport, CT, 1991:3.Google Scholar
  2. 2.
    Baker PM. The status of age: preliminary results. J Gerontol 1985;40:506–508.PubMedCrossRefGoogle Scholar
  3. 3.
    Webb R, Williams LM. Centenarian hand syndrome [letter]. N Engl J Med 1985;313:188.PubMedGoogle Scholar
  4. 4.
    Matalon JM (Associated Press). World’s oldest person dies. The Times Leader: Wilkes Barre, PA, August 5, 1997.Google Scholar
  5. 5.
    Cowley G. How to live to 100. Newsweek, June 30,1997:56–67.Google Scholar
  6. 6.
    Vaupel JW, Jeune B. The emergence and proliferation of centenarians. In: Jeune B, Vaupel JW (eds) Exceptional Longevity: From Prehistory to the Present. Odense University Press: Odense, Denmark, 1995.Google Scholar
  7. 7.
    United States Bureau of the Census. America’s Centenarians. Current Population Reports. Series P-23, No 153. US Government Printing Office: Washington, DC, 1987.Google Scholar
  8. 8.
    Windom RE. From the assistant secretary for health. JAMA 1988;259:2201.Google Scholar
  9. 9.
    Perls TT. The oldest old. Sci Am 1995;January:70–75.Google Scholar
  10. 10.
    Ahlburg DA, Vaupel JW. Alternative projections of the U.S. population. Demography 1990;27:639–651.PubMedCrossRefGoogle Scholar
  11. 11.
    Vaupel JW, Gowan AE. Passage to Methuselah: some demographic consequences of continued progress against mortality. Am J Public Health 1986;76:430–433.PubMedCrossRefGoogle Scholar
  12. 12.
    Smith OC. Advanced age as a contraindication to operation. Med Rec (NY) 1907;72:642–644.Google Scholar
  13. 13.
    Ochsner A. Is risk of operation too great in the elderly? Geriatrics 1967;22:121–130.PubMedGoogle Scholar
  14. 14.
    Brooks B. Surgery in patients of advanced age. Ann Surg 1937;105:481–495.PubMedCrossRefGoogle Scholar
  15. 15.
    Warner MA, Hosking MP, Lobdell CM, et al. Surgical procedures among those >90 years of age. Ann Surg 1988;207: 380–386.PubMedCrossRefGoogle Scholar
  16. 16.
    Cohen JR, Johnson H, Eton S, et al. Surgical procedures in patients during the 10th decade of life. Surgery 1988;104: 646–651.PubMedGoogle Scholar
  17. 17.
    Coyle KA, Smith RB, Salam A A, et al. Carotid endarterec-tomy in the octogenarian. Ann Vasc Surg 1994;8:417–420.PubMedCrossRefGoogle Scholar
  18. 18.
    Chalmers RTA, Stonebridge PA, John TG, Murie JA. Abdominal aortic aneurysm in the elderly. Br J Surg 1993;80: 1122–1123.PubMedCrossRefGoogle Scholar
  19. 19.
    Blanche C, Matloff JM, Denton TA, et al. Cardiac operations in patients 90 years of age and older. Ann Thorac Surg 1997;63:1685–1690.PubMedCrossRefGoogle Scholar
  20. 20.
    Alexander HR, Turnball AD, Salamon J, et al. Upper abdominal cancer surgery in the very elderly. J Surg Oncol 1991;47:82–86.PubMedCrossRefGoogle Scholar
  21. 21.
    Welch CE, Whittemore WS. Carcinoma of the rectum in a centenarian. N Engl J Med 1954;250:1041–1042.PubMedCrossRefGoogle Scholar
  22. 22.
    Maycock PP, Burns CM. Prostatic surgery in centenarians. J Urol 1955;74:546–548.Google Scholar
  23. 23.
    Childress HM. Hip fractures in patients over 100 years of age. New York J Med 1957;57:1604–1606.PubMedGoogle Scholar
  24. 24.
    Grayzel J. Pacemaker in a centenarian [letter]. JAMA 1971;218:95.PubMedCrossRefGoogle Scholar
  25. 25.
    Milliken RA, Milliken GM. Centenarian surgery [letter]. JAMA 1971;218:1435.PubMedCrossRefGoogle Scholar
  26. 26.
    Sapala JA, Sapala MA. Excision of a large ovarian leiomyoma in a centenarian. Henry Ford Hosp Med J 1983;31: 37–39.PubMedGoogle Scholar
  27. 27.
    Cobler JL, Akiyama T, Murphy GW. Permanent pacemakers in centenarians. J Am Geriatr Soc 1989;37:753–756.PubMedGoogle Scholar
  28. 28.
    McCann WJ, Smith JW. The surgical care of centenarians. Curr Surg 1990;47:2–3.PubMedGoogle Scholar
  29. 29.
    Cogbill TH, Strutt PJ, Landercasper J. Surgical procedures in centenarians. Wisc Med J 1992;91:527–529.Google Scholar
  30. 30.
    Katlic MR. Surgery in centenarians. JAMA 1985;253:3139–3141.PubMedCrossRefGoogle Scholar
  31. 31.
    Linn BS, Linn MW, Wallen N. Evaluation of results of surgical procedures in the elderly. Ann Surg 1982;195:90–96.PubMedCrossRefGoogle Scholar
  32. 32.
    Brody H. Aging of the vertebrate brain. In: Rockstein M, Sussman ML (eds) Development and Aging in the Nervous System. Academic: San Diego, 1973:121–133.CrossRefGoogle Scholar
  33. 33.
    Hubbard O, Sunde D, Goldensohn ES. The EEG in centenarians. Electroencephalogr Clin Neurophysiol 1976;40: 407–417.PubMedCrossRefGoogle Scholar
  34. 34.
    Pavia D, Thomson ML. Unimpaired mucociliary clearance in the lung of a centenarian smoker. Lancet 1970;663:101–102.CrossRefGoogle Scholar
  35. 35.
    Mari D, Mannucci PM, Coppola R, et al. Hypercoagulability in centenarians: the paradox of successful aging. Blood 1995;85:3144–3149.PubMedGoogle Scholar
  36. 36.
    Schacter F, Faure-Delanef L, Guenot F, et al. Genetic associations with human longevity at the APOE and ACE loci. Nat Genet 1994;6:29–32.CrossRefGoogle Scholar
  37. 37.
    Mannucci PM, Mari D, Merati G, et al. Gene polymorphism predicting high plasma levels of coagulation and fibrinolysis proteins: a study in centenarians. Arterioscler Thromb Vasc Biol 1997;17:755–759.PubMedCrossRefGoogle Scholar
  38. 38.
    Tietz NW, Shuey DF, Wekstein DR. Laboratory values in fit aging individuals: sexagenarians through centenarians. Clin Chem 1992;38:1167–1185.PubMedGoogle Scholar
  39. 39.
    Franceschi C, Monti D, Sansoni P, Cossarizza A. The immunology of exceptional individuals: the lesson of centenarians. Immunol Today 1995;16:12–16.PubMedCrossRefGoogle Scholar
  40. 40.
    Franceschi C, Monti D, Cossarizza A, et al. Aging, longevity and cancer: studies in Down’s syndrome and centenarians. Ann NY Acad Sci 1991;621:428–440.PubMedCrossRefGoogle Scholar
  41. 41.
    Lowbeer L. Autopsy pathology in centenarians [letter]. Arch Pathol Lab Med 1987;111:784.PubMedGoogle Scholar
  42. 42.
    Ravaglia G, Morini P, Forti P, et al. Anthropometric characteristics of healthy Italian nonagenarians and centenarians. Br J Nutr 1997;77:9–17.PubMedCrossRefGoogle Scholar
  43. 43.
    Ishii T, Sternby NH. Pathology of centenarians. I. The cardiovascular system and lungs. J Am Geriatr Soc 1978;26: 108–115.PubMedGoogle Scholar
  44. 44.
    Shimonalia Y, Nakazato K, Homma A. Personality, longevity and successful aging among Tokyo metropolitan centenarians. Int J Aging Hum Dev 1996;42:173–187.CrossRefGoogle Scholar
  45. 45.
    Klatt EC, Meyer PR. Autopsy pathology in centenarians [letter]. Arch Pathol Lab Med 1987;111:784.Google Scholar
  46. 46.
    Ishii T, Sternby NH. Pathology of centenarians. II. Urogenital and digestive systems. J Am Geriatr Soc 1978; 26:391–396.PubMedGoogle Scholar
  47. 47.
    Ishii T, Sternby NH. Pathology of centenarians. III. Osseous system malignant lesions, and causes of death. J Am Geriatr Soc 1978;26:529–533.PubMedGoogle Scholar
  48. 48.
    Santa G, Campagna L, Cavallieri F, Giarelli L. Cancer of the oldest old: what have we learned from autopsy studies. Clin Geriatr Med 1997;13:55–68.Google Scholar
  49. 49.
    Klatt EC, Meyer PR. Geriatric autopsy pathology in centenarians. Arch Pathol Lab Med 1987;111:367–369.PubMedGoogle Scholar
  50. 50.
    Smith D WE. Cancer mortality at very old ages. Cancer 1996;77:1367.PubMedCrossRefGoogle Scholar
  51. 51.
    Herschind AM, McGue M, Holm NV, et al. The heretability of human longevity: a population-based study of 2872 Danish twin pairs 1870–1900. Hum Genet 1996;97:319–323.CrossRefGoogle Scholar
  52. 52.
    Wyshuk G. Fertility and longevity in twins, sibs, and parents of twins. Soc Biol 1978;25:315–330.Google Scholar
  53. 53.
    Takata H, Suzuki M, Ishii T, et al. Influence of major histocompatibility complex region on human longevity among Okinawan Japanese centenarians and nonagenarians. Lancet 1987;2:824–826.PubMedCrossRefGoogle Scholar
  54. 54.
    Herschind AM, McGue M, Iachive IA, et al. Untangling genetic influences on smoking, body mass index and longevity: a multivariate study of 2464 Danish twins followed for 28 years. Hum Genet 1996;98:467–475.CrossRefGoogle Scholar
  55. 55.
    Christensen K, Vaupel JW. Determinants of longevity: genetic environmental and medical factors. J Intern Med 1996;240:333–341.PubMedCrossRefGoogle Scholar
  56. 56.
    McGue M, Vaupel JW, Holm N, Harvald B. Longevity is moderately heritable in a sample of Danish twins from 1870–1880. J Gerontol 1993;48:37–244.CrossRefGoogle Scholar
  57. 57.
    . Herbert J. The age of dehydroepiandrosterone. Lancet 1995;345:1193–1194.PubMedCrossRefGoogle Scholar
  58. 58.
    Economos AC. Rate of aging, rate of dying and the mechanism of mortality. Arch Gerontol Geriatr 1982;1:3–27.PubMedCrossRefGoogle Scholar
  59. 59.
    Barrett JC. Longevity of selected centenarians. Lancet 1984;Nov 2;1:1032.Google Scholar
  60. 60.
    Barrett JC. The mortality of centenarians in England and Wales. Arch Gerontol Geriatr 1985;4:211–218.PubMedCrossRefGoogle Scholar
  61. 61.
    Carey JR, Liedo P, Orozio D, Vaupel JW. Slowing of mortality rates at older ages in large medfly cohorts. Science 1992;258:457–461.PubMedCrossRefGoogle Scholar
  62. 62.
    Lubitz J, Beebe J, Baker C. Longevity and Medicare expenditures. N Engl J Med 1995;332:999–1003.PubMedCrossRefGoogle Scholar

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© Springer Science+Business Media New York 2001

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  • Mark R. Katlic

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