Super-elderly patient-specific perioperative complications in breast cancer surgery

  • Yoshinari OgawaEmail author
  • Katsumi Ikeda
  • Chika Watanabe
  • Yuri Kamei
  • Wataru Goto
  • Chika Shiraishi
  • Shinya Tokunaga
  • Yuko Tsuboguchi
Original Article



Geriatric surgery poses specific challenges due to patient vulnerability in relation to aging. We analyzed perioperative challenges concerning super-elderly patients with breast cancer.


Between 2013 and 2018, 908 patients with breast cancer were treated surgically. Of these, two patient groups were compared: Group A (≥ 85 years old, n = 34, 3.7%) and Group B (75–84 years old, n = 136, 15%).


In Groups A and B, 26.4% and 36.8% of patients lived alone, respectively. Group A patients had higher rates of psychiatric and cardiovascular disease (32.4% and 41.2%) than Group B (8.8% and 16.2%) (p = 0.0009 and p = 0.0031, respectively). There was no marked difference in the type of surgery or length of hospital stay between groups, and most complications involved surgical site disorders. Postoperatively, Group A had a higher rate of delirium (29.4%) than Group B (3.7%) (p < 0.0001). The 30-day postoperative mortality rate was 0, and 76.5% of Group A and 45.6% of Group B patients received no adjuvant therapy (p = 0.0024).


Age alone does not constitute a contraindication for appropriate surgery, although there are some challenges necessary to consider for super-elderly patients.


Breast Elderly Surgery Complication Delirium 



No grant was received for this study.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to disclose.

Ethical approval

This study was approved by the Ethics Committee of Osaka City General Hospital (December 2018; No.1812103).


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Yoshinari Ogawa
    • 1
    Email author
  • Katsumi Ikeda
    • 1
  • Chika Watanabe
    • 1
  • Yuri Kamei
    • 1
  • Wataru Goto
    • 1
  • Chika Shiraishi
    • 2
  • Shinya Tokunaga
    • 3
  • Yuko Tsuboguchi
    • 3
  1. 1.Department of Breast Surgical OncologyOsaka City General HospitalOsakaJapan
  2. 2.Palliative Care UnitOsaka City General HospitalOsakaJapan
  3. 3.Department of Medical OncologyOsaka City General HospitalOsakaJapan

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