Abstract
The authors report the results of hepatectomy for primary liver cancer in 31 patients ≥65 years of age. Of 31 patients, subclinical stage amounted to 45.2% (14/31), moderate stage 54.8% (17/31). Left hemihepatectomy was done in 6 cases (19.4%), segmentectomy in 5 cases (16.1%), local resection in 18 cases (58.1%), and cryosurgery in 2 cases (6.5%). There was no operative mortality. The 1-, 3-, and 5-year survival rates after operation were 81.8% (18/22), 50.0% (3/6), and 25.0% (1/4), respectively. No statistically significant difference was observed in clinicopathologic features between the patients ≥65 years of age and the patients <65 years of age. It is suggested that hepatectomy for the elderly is justified in carefully selected patients, and the safety of hepatectomy for the elderly mainly depends on perioperative management and skilled surgical technique.
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Zhou XD, Tang ZY, Yu YQ. Hepatoma and its treatment in China. In: Uchino JK, et al. eds. Hepatocellular Carcinoma—Epidemiology, Pathogenesis, Diagnosis and Treatment. Fuji Shoin: Sapporo. 1989; 408–419.
Tang ZY, Yu YQ, Zhou XD, et al. Subclinical hepatocellular carcinoma: An analysis of 391 patients. J Surg Oncol 1993; (Suppl) 3:55.
Zhou XD, Yu YQ, Tang ZY. Advances in surgery for hepatocellular carcinoma. Asian J Surg (in press).
Zhou XD, Yu YQ, Tang ZY. Results of liver resection for primary liver cancer. J Hepato-Pancreato-Biliary Surgery (in press).
Yu YQ, Tang ZY, Zhou XD, et al. Resection of segment VIII of liver for treatment of primary liver cancer. Arch Surg 1993; 128:224.
Ezaki T, Yukaya H, Ogawa Y. Evaluation of hepatic resection for hepatocellular carcinoma in the elderly. Br J Surg 1987; 74:471.
Yanaga K, Kanematsu T, Takenaka K, et al. Hepatic resection for hepatocellular carcinoma in elderly patients. Am J Surg 1988; 155:238.
Fortner JG, Lincer RM. Hepatic resection in the elderly. Ann Surg 1990; 211:141.
Chen MF, Huang TL, Jeng LB, et al. Influence of age on results of resection of hepatocellular carcinoma. Acta Chir Eur J Surg 1991; 157:591.
Zhou XD, Tang ZY, Yu YQ, et al. Hepatic artery ligation and infusion chemotherapy for unresectable primary liver cancer. Chin Med J 1991; 104:846.
Tang ZY, Yu YQ, Zhou XD, et al. Cytoreduction and sequence resection—A hope for unresectable primary liver cancer. J Surg Oncol 1991; 47:27.
Zhou XD, Tang ZY, Yu YQ, et al. Hepatocellular carcinoma: Some aspects to improve long-term survival. J Surg Oncol 1989; 41:256.
Zhou XD, Tang ZY, Yu YQ, et al. Current management of hepatocellular carcinoma. Hepato-Gastroenterol 1991; 38 (Suppl 1):46.
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Xinda, Z., Zhaoyou, T., Yeqin, Y. et al. Clinicopathologic features and hepatectomy in the elderly patients with primary liver cancer. Chinese Journal of Cancer Research 6, 51–57 (1994). https://doi.org/10.1007/BF02672262
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DOI: https://doi.org/10.1007/BF02672262