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Principles of Geriatric Surgery

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Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly

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Abstract

The world population is aging and the conditions that require surgery—atherosclerosis, cancer, arthritis, prostatism, cataract, pelvic floor disorders, and others—increase in incidence with increasing age. What do we know about surgery in the elderly that will help us improve our care of these conditions? Six general principles are useful for teaching purposes. These include the fact that the clinical presentation of surgical problems may be subtle or different from that of the general population; the elderly handle stress well but not severe stress due to lack of reserve; preoperative preparation and attention to detail are crucial; when these are lacking, as in emergency surgery, risk dramatically increases; and the results of elective surgery in the elderly are good in many centers and do not support prejudice against advanced age. Pelvic surgeons must become students of the physiologic changes that occur with aging and, guided by these few principles, apply this knowledge to daily clinical care. We owe it to our elders to become good geriatric surgeons and in so doing we will become better surgeons to patients of all ages.

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References

  1. Smith OC. Advanced age as a contraindication to operation. Med Rec (NY). 1907;72:642–4.

    Google Scholar 

  2. Ochsner A. Is risk of operation too great in the elderly? Geriatrics. 1967;22:121–30.

    CAS  PubMed  Google Scholar 

  3. Alexander HR, Turnbull AD, Salamone J, Keefe D, Melendez J. Upper abdominal cancer surgery in the very elderly. J Surg Oncol. 1991;47(2):82–6.

    Article  CAS  PubMed  Google Scholar 

  4. Bridges CR, Edwards FH, Peterson ED, Coombs LP, Ferguson TB. Cardiac surgery in nonagenarians and centenarians. J Am Coll Surg. 2003;197(3):347–56. discussion 356–347.

    Article  PubMed  Google Scholar 

  5. Katlic MR. Surgery in centenarians. JAMA. 1985;253(21):3139–41.

    Article  CAS  PubMed  Google Scholar 

  6. Ullery BW, Peterson JC, Milla F, et al. Cardiac surgery in select nonagenarians: should we or shouldn’t we? Ann Thorac Surg. 2008;85(3):854–60.

    Article  PubMed  Google Scholar 

  7. Cohen JR, Johnson H, Eaton S, Sterman H, Wise L. Surgical procedures in patients during the tenth decade of life. Surgery. 1988;104(4):646–51.

    CAS  PubMed  Google Scholar 

  8. Linn BS, Zeppa R. Student attitudes about surgery in older patients before and after the surgical clerkship. Ann Surg. 1987;205(3):324–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Thomas DR, Ritchie CS. Preoperative assessment of older adults. J Am Geriatr Soc. 1995;43(7):811–21.

    Article  CAS  PubMed  Google Scholar 

  10. Biancari F, Schifano P, Pighi M, Vasques F, Juvonen T, Vinco G. Pooled estimates of immediate and late outcome of mitral valve surgery in octogenarians: a meta-analysis and meta-regression. J Cardiothorac Vasc Anesth. 2013;27(2):213–9.

    Google Scholar 

  11. Goodney PP, Siewers AE, Stukel TA, Lucas FL, Wennberg DE, Birkmeyer JD. Is surgery getting safer? National trends in operative mortality. J Am Coll Surg. 2002;195(2):219–27.

    Article  PubMed  Google Scholar 

  12. Storm-Dickerson TL, Horattas MC. What have we learned over the past 20 years about appendicitis in the elderly? Am J Surg. 2003;185(3):198–201.

    Article  PubMed  Google Scholar 

  13. Elangovan S. Clinical and laboratory findings in acute appendicitis in the elderly. J Am Board Fam Pract. 1996;9(2):75–8.

    CAS  PubMed  Google Scholar 

  14. Lau WY, Fan ST, Yiu TF, Chu KW, Lee JM. Acute appendicitis in the elderly. Surg Gynecol Obstet. 1985;161(2):157–60.

    CAS  PubMed  Google Scholar 

  15. Horattas MC, Guyton DP, Wu D. A reappraisal of appendicitis in the elderly. Am J Surg. 1990;160(3):291–3.

    Article  CAS  PubMed  Google Scholar 

  16. Soroken C, Samaras N, Samaras D, Huber P. An unusual case of cholecystitis and liver abscesses in an older adult. J Am Geriatr Soc. 2012;60(1):160–61.

    Google Scholar 

  17. Adedeji OA, McAdam WA. Murphy’s sign, acute cholecystitis and elderly people. J R Coll Surg Edinb. 1996;41(2):88–9.

    CAS  PubMed  Google Scholar 

  18. Hafif A, Gutman M, Kaplan O, Winkler E, Rozin RR, Skornick Y. The management of acute cholecystitis in elderly patients. Am Surg. 1991;57(10):648–52.

    CAS  PubMed  Google Scholar 

  19. Parker LJ, Vukov LF, Wollan PC. Emergency department evaluation of geriatric patients with acute cholecystitis. Acad Emerg Med. 1997;4(1):51–5.

    Article  CAS  PubMed  Google Scholar 

  20. Chen Y, Zheng M, Hu X, et al. Fever of unknown origin in elderly people: a retrospective study of 87 patients in China. J Am Geriatr Soc. 2008;56(1):182–4.

    Article  PubMed  Google Scholar 

  21. Stewart L, Grifiss JM, Jarvis GA, Way LW. Elderly patients have more severe biliary infections: influence of complement-killing and induction of TNFalpha production. Surgery. 2008;143(1):103–12.

    Article  PubMed  Google Scholar 

  22. Magnuson TH, Ratner LE, Zenilman ME, Bender JS. Laparoscopic cholecystectomy: applicability in the geriatric population. Am Surg. 1997;63(1):91–6.

    CAS  PubMed  Google Scholar 

  23. Saunders K, Tompkins R, Longmire Jr W, Roslyn J. Bile duct carcinoma in the elderly. A rationale for surgical management. Arch Surg. 1991;126(10):1186–90. discussion 1190–1181.

    Article  CAS  PubMed  Google Scholar 

  24. Hilton D, Iman N, Burke GJ, et al. Absence of abdominal pain in older persons with endoscopic ulcers: a prospective study. Am J Gastroenterol. 2001;96(2):380–4.

    Article  CAS  PubMed  Google Scholar 

  25. Rabinovici R, Manny J. Perforated duodenal ulcer in the elderly. Eur J Surg. 1991;157(2):121–5.

    CAS  PubMed  Google Scholar 

  26. Tong K, Merchant R. Nonacute acute abdomen in older adults. J Am Geriatr Soc. 2012;60(2):370–71.

    Google Scholar 

  27. Mulcahy HE, Patchett SE, Daly L, O'Donoghue DP. Prognosis of elderly patients with large bowel cancer. Br J Surg. 1994;81(5):736–8.

    Article  CAS  PubMed  Google Scholar 

  28. Watters JM, Blakslee JM, March RJ, Redmond ML. The influence of age on the severity of peritonitis. Can J Surg. 1996;39(2):142–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  29. Tedesco P, Lobo E, Fisichella PM, Way LW, Patti MG. Laparoscopic fundoplication in elderly patients with gastroesophageal reflux disease. Arch Surg. 2006;141(3):289–92. discussion 292.

    Article  PubMed  Google Scholar 

  30. Pilotto A, Franceschi M, Leandro G, et al. Clinical features of reflux esophagitis in older people: a study of 840 consecutive patients. J Am Geriatr Soc. 2006;54(10):1537–42.

    Article  PubMed  Google Scholar 

  31. Knutson JW, Slavin RG. Sinusitis in the aged. Optimal management strategies. Drugs Aging. 1995;7(4):310–6.

    Article  CAS  PubMed  Google Scholar 

  32. Norman DC, Toledo SD. Infections in elderly persons. An altered clinical presentation. Clin Geriatr Med. 1992;8(4):713–9.

    CAS  PubMed  Google Scholar 

  33. Koch WM, Patel H, Brennan J, Boyle JO, Sidransky D. Squamous cell carcinoma of the head and neck in the elderly. Arch Otolaryngol Head Neck Surg. 1995;121(3):262–5.

    Article  CAS  PubMed  Google Scholar 

  34. Ehlinger P, Fossion E, Vrielinck L. Carcinoma of the oral cavity in patients over 75 years of age. Int J Oral Maxillofac Surg. 1993;22(4):218–20.

    Article  CAS  PubMed  Google Scholar 

  35. Chigot JP, Menegaux F, Achrafi H. Should primary hyperparathyroidism be treated surgically in elderly patients older than 75 years? Surgery. 1995;117(4):397–401.

    Article  CAS  PubMed  Google Scholar 

  36. Thomas PC, Grigg M. Carotid artery surgery in the octogenarian. Aust N Z J Surg. 1996;66(4):231–4.

    Article  CAS  PubMed  Google Scholar 

  37. Canto JG, Fincher C, Kiefe CI, et al. Atypical presentations among Medicare beneficiaries with unstable angina pectoris. Am J Cardiol. 2002;90(3):248–53.

    Article  PubMed  Google Scholar 

  38. Hellmann DB. Eurekapenia: a disease of medical residency training programs? Pharos Alpha Omega Alpha Honor Med Soc. 2003;66(2):24–6.

    PubMed  Google Scholar 

  39. Durso SC. A bipolar disorder: eurekaphoria, then discouragement. Pharos Alpha Omega Alpha Honor Med Soc. 2004;67(3):49.

    PubMed  Google Scholar 

  40. Birim O, Zuydendorp HM, Maat AP, Kappetein AP, Eijkemans MJ, Bogers AJ. Lung resection for non-small-cell lung cancer in patients older than 70: mortality, morbidity, and late survival compared with the general population. Ann Thorac Surg. 2003;76(6):1796–801.

    Article  PubMed  Google Scholar 

  41. Brock MV, Kim MP, Hooker CM, et al. Pulmonary resection in octogenarians with stage I nonsmall cell lung cancer: a 22-year experience. Ann Thorac Surg. 2004;77(1):271–7.

    Article  PubMed  Google Scholar 

  42. Keagy BA, Pharr WF, Bowes DE, Wilcox BR. A review of morbidity and mortality in elderly patients undergoing pulmonary resection. Am Surg. 1984;50(4):213–6.

    CAS  PubMed  Google Scholar 

  43. Au J, el-Oakley R, Cameron EW. Pneumonectomy for bronchogenic carcinoma in the elderly. Eur J Cardiothorac Surg. 1994;8(5):247–50.

    Google Scholar 

  44. Miller DL, Deschamps C, Jenkins GD, Bernard A, Allen MS, Pairolero PC. Completion pneumonectomy: factors affecting operative mortality and cardiopulmonary morbidity. Ann Thorac Surg. 2002;74(3):876–83. discussion 883–874.

    Article  PubMed  Google Scholar 

  45. Rostad H, Naalsund A, Strand TE, Jacobsen R, Talleraas O, Norstein J. Results of pulmonary resection for lung cancer in Norway, patients older than 70 years. Eur J Cardiothorac Surg. 2005;27(2):325–8.

    Article  PubMed  Google Scholar 

  46. Demmy TL, Plante AJ, Nwogu CE, Takita H, Anderson TM. Discharge independence with minimally invasive lobectomy. Am J Surg. 2004;188(6):698–702.

    Article  PubMed  Google Scholar 

  47. Jaklitsch MT, DeCamp Jr MM, Liptay MJ, et al. Video-assisted thoracic surgery in the elderly. A review of 307 cases. Chest. 1996;110(3):751–8.

    Article  CAS  PubMed  Google Scholar 

  48. Nomori H, Horio H, Fuyuno G, Kobayashi R, Yashima H. Respiratory muscle strength after lung resection with special reference to age and procedures of thoracotomy. Eur J Cardiothorac Surg. 1996;10(5):352–8.

    Article  CAS  PubMed  Google Scholar 

  49. Yim AP. Thoracoscopic surgery in the elderly population. Surg Endosc. 1996;10(9):880–2.

    Article  CAS  PubMed  Google Scholar 

  50. Cattaneo SM, Park BJ, Wilton AS, et al. Use of video-assisted thoracic surgery for lobectomy in the elderly results in fewer complications. Ann Thorac Surg. 2008;85(1):231–5. discussion 235–236.

    Article  PubMed  Google Scholar 

  51. Patel HJ, Williams DM, Upchurch Jr GR, et al. A comparison of open and endovascular descending thoracic aortic repair in patients older than 75 years of age. Ann Thorac Surg. 2008;85(5):1597–603. discussion 1603–1594.

    Article  PubMed  Google Scholar 

  52. Jackson RS, Chang DC, Freischlag JA. Comparison of long-term survival after open vs endovascular repair of intact abdominal aortic aneurysm among Medicare beneficiaries. JAMA. 2012;307(15):1621–8.

    Google Scholar 

  53. Tan HJ, Norton EC, Ye Z, Hafez KS, Gore JL, Miller DC. Long-term survival following partial vs radical nephrectomy among older patients with early-stage kidney cancer. JAMA. 2012;307(15):1629–35.

    Google Scholar 

  54. Bergus BO, Feng WC, Bert AA, Singh AK. Aortic valve replacement (AVR): influence of age on operative morbidity and mortality. Eur J Cardiothorac Surg. 1992;6(3):118–21.

    Article  CAS  PubMed  Google Scholar 

  55. Salomon NW, Page US, Bigelow JC, Krause AH, Okies JE, Metzdorff MT. Coronary artery bypass grafting in elderly patients. Comparative results in a consecutive series of 469 patients older than 75 years. J Thorac Cardiovasc Surg. 1991;101(2):209–17. discussion 217–208.

    CAS  PubMed  Google Scholar 

  56. Lytle BW, Navia JL, Taylor PC, et al. Third coronary artery bypass operations: risks and costs. Ann Thorac Surg. 1997;64(5):1287–95.

    Article  CAS  PubMed  Google Scholar 

  57. Elayda MA, Hall RJ, Reul RM, et al. Aortic valve replacement in patients 80 years and older. Operative risks and long-term results. Circulation. 1993;88(5 Pt 2):II11–6.

    CAS  PubMed  Google Scholar 

  58. Mohammadi S, Kalavrouziotis D, Dagenais F, Voisine P, Charbonneau E. Completeness of revascularization and survival among octogenarians with triple-vessel disease. Ann Thorac Surg. 2012;93(5):1432–7.

    Google Scholar 

  59. Girerd N, Magne J, Rabilloud M, et al. The impact of complete revascularization on long-term survival is strongly dependent on age. Ann Thorac Surg. 2012;94(4):1166–72.

    Google Scholar 

  60. Fortner JG, Lincer RM. Hepatic resection in the elderly. Ann Surg. 1990;211(2):141–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Fong Y, Blumgart LH, Fortner JG, Brennan MF. Pancreatic or liver resection for malignancy is safe and effective for the elderly. Ann Surg. 1995;222(4):426–34. discussion 434–427.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Escarce JJ, Shea JA, Chen W, Qian Z, Schwartz JS. Outcomes of open cholecystectomy in the elderly: a longitudinal analysis of 21,000 cases in the prelaparoscopic era. Surgery. 1995;117(2):156–64.

    Article  CAS  PubMed  Google Scholar 

  63. Tsujitani S, Katano K, Oka A, Ikeguchi M, Maeta M, Kaibara N. Limited operation for gastric cancer in the elderly. Br J Surg. 1996;83(6):836–9.

    Article  CAS  PubMed  Google Scholar 

  64. Gretschel S, Estevez-Schwarz L, Hunerbein M, Schneider U, Schlag PM. Gastric cancer surgery in elderly patients. World J Surg. 2006;30(8):1468–74.

    Article  PubMed  Google Scholar 

  65. Okada M, Koike T, Higashiyama M, Yamato Y, Kodama K, Tsubota N. Radical sublobar resection for small-sized non-small cell lung cancer: a multicenter study. J Thorac Cardiovasc Surg. 2006;132(4):769–75.

    Article  PubMed  Google Scholar 

  66. Mery CM, Pappas AN, Bueno R, et al. Similar long-term survival of elderly patients with non-small cell lung cancer treated with lobectomy or wedge resection within the surveillance, epidemiology, and end results database. Chest. 2005;128(1):237–45.

    Article  PubMed  Google Scholar 

  67. Barbas AS, Turley RS, Ceppa EP, et al. Comparison of outcomes and the use of multimodality therapy in young and elderly people undergoing surgical resection of pancreatic cancer. J Am Geriatr Soc. 2012;60(2):344–50.

    Google Scholar 

  68. Lawrence VA, Hazuda HP, Cornell JE, et al. Functional independence after major abdominal surgery in the elderly. J Am Coll Surg. 2004;199(5):762–72.

    Article  PubMed  Google Scholar 

  69. Seymour DG, Vaz FG. A prospective study of elderly general surgical patients: II. Post-operative complications. Age Ageing. 1989;18(5):316–26.

    Article  CAS  PubMed  Google Scholar 

  70. Dzankic S, Pastor D, Gonzalez C, Leung JM. The prevalence and predictive value of abnormal preoperative laboratory tests in elderly surgical patients. Anesth Analg. 2001;93(2):301–308, 302nd contents page.

    Google Scholar 

  71. Vaporciyan AA, Merriman KW, Ece F, et al. Incidence of major pulmonary morbidity after pneumonectomy: association with timing of smoking cessation. Ann Thorac Surg. 2002;73(2):420–5. discussion 425–426.

    Article  PubMed  Google Scholar 

  72. Mizushima Y, Noto H, Sugiyama S, et al. Survival and prognosis after pneumonectomy for lung cancer in the elderly. Ann Thorac Surg. 1997;64(1):193–8.

    Article  CAS  PubMed  Google Scholar 

  73. Reilly JJ. Preparing for pulmonary resection: preoperative evaluation of patients. Chest. 1997;112(4 Suppl):206S–8.

    Article  CAS  PubMed  Google Scholar 

  74. Goldhaber SZ, Tapson VF. A prospective registry of 5,451 patients with ultrasound-confirmed deep vein thrombosis. Am J Cardiol. 2004;93(2):259–62.

    Article  PubMed  Google Scholar 

  75. Jacobs LG. Prophylactic anticoagulation for venous thromboembolic disease in geriatric patients. J Am Geriatr Soc. 2003;51(10):1472–8.

    Article  PubMed  Google Scholar 

  76. Berlauk JF, Abrams JH, Gilmour IJ, O'Connor SR, Knighton DR, Cerra FB. Preoperative optimization of cardiovascular hemodynamics improves outcome in peripheral vascular surgery. A prospective, randomized clinical trial. Ann Surg. 1991;214(3):289–97. discussion 298–289.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  77. Bender JS, Smith-Meek MA, Jones CE. Routine pulmonary artery catheterization does not reduce morbidity and mortality of elective vascular surgery: results of a prospective, randomized trial. Ann Surg. 1997;226(3):229–36. discussion 236–227.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  78. Ziegler DW, Wright JG, Choban PS, Flancbaum L. A prospective randomized trial of preoperative “optimization” of cardiac function in patients undergoing elective peripheral vascular surgery. Surgery. 1997;122(3):584–92.

    Article  CAS  PubMed  Google Scholar 

  79. Leppo JA. Preoperative cardiac risk assessment for noncardiac surgery. Am J Cardiol. 1995;75(11):42D–51.

    Article  CAS  PubMed  Google Scholar 

  80. Biagini E, Elhendy A, Schinkel AF, et al. Long-term prediction of mortality in elderly persons by dobutamine stress echocardiography. J Gerontol A Biol Sci Med Sci. 2005;60(10):1333–8.

    Article  PubMed  Google Scholar 

  81. Snowden CP, Prentis J, Jacques B, et al. Cardiorespiratory fitness predicts mortality and hospital length of stay after major elective surgery in older people. Ann Surg. 2013;257(6):999–1004.

    Google Scholar 

  82. Brunelli A, Pompili C, Berardi R, et al. Performance at preoperative stair-climbing test is associated with prognosis after pulmonary resection in stage I non-small cell lung cancer. Ann Thorac Surg. 2012;93(6):1796–800.

    Google Scholar 

  83. Pollock M, Roa J, Benditt J, Celli B. Estimation of ventilatory reserve by stair climbing. A study in patients with chronic airflow obstruction. Chest. 1993;104(5):1378–83.

    Article  CAS  PubMed  Google Scholar 

  84. Brunelli A, Refai M, Xiume F, et al. Performance at symptom-limited stair-climbing test is associated with increased cardiopulmonary complications, mortality, and costs after major lung resection. Ann Thorac Surg. 2008;86(1):240–7. discussion 247–248.

    Article  PubMed  Google Scholar 

  85. Win T, Jackson A, Groves AM, Sharples LD, Charman SC, Laroche CM. Comparison of shuttle walk with measured peak oxygen consumption in patients with operable lung cancer. Thorax. 2006;61(1):57–60.

    Article  CAS  PubMed  Google Scholar 

  86. Simonsick EM, Fan E, Fleg JL. Estimating cardiorespiratory fitness in well-functioning older adults: treadmill validation of the long distance corridor walk. J Am Geriatr Soc. 2006;54(1):127–32.

    Article  PubMed  Google Scholar 

  87. Robinson TN, Wu DS, Sauaia A, et al. Slower walking speed forecasts increased postoperative morbidity and 1-year mortality across surgical specialties. Ann Surg. 2013;258(4):582–8; discussion 588–590.

    Google Scholar 

  88. Afilalo J, Eisenberg MJ, Morin JF, et al. Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery. J Am Coll Cardiol. 2010;56(20):1668–76.

    Google Scholar 

  89. Weinstein H, Bates AT, Spaltro BE, Thaler HT, Steingart RM. Influence of preoperative exercise capacity on length of stay after thoracic cancer surgery. Ann Thorac Surg. 2007;84(1):197–202.

    Article  PubMed  Google Scholar 

  90. Audisio RA, Pope D, Ramesh HS, et al. Shall we operate? Preoperative assessment in elderly cancer patients (PACE) can help. A SIOG surgical task force prospective study. Crit Rev Oncol Hematol. 2008;65(2):156–63.

    Article  CAS  PubMed  Google Scholar 

  91. Internullo E, Moons J, Nafteux P, et al. Outcome after esophagectomy for cancer of the esophagus and GEJ in patients aged over 75 years. Eur J Cardiothorac Surg. 2008;33(6):1096–104.

    Article  PubMed  Google Scholar 

  92. Katlic MR. The Holy Grail of geriatric surgery. Ann Surg. 2013;257(6):1005–6.

    Article  PubMed  Google Scholar 

  93. Iwamoto K, Ichiyama S, Shimokata K, Nakashima N. Postoperative pneumonia in elderly patients: incidence and mortality in comparison with younger patients. Intern Med. 1993;32(4):274–7.

    Article  CAS  PubMed  Google Scholar 

  94. Kwon AH, Matsui Y. Laparoscopic cholecystectomy in patients aged 80 years and over. World J Surg. 2006;30(7):1204–10.

    Article  PubMed  Google Scholar 

  95. Landau O, Kott I, Deutsch AA, Stelman E, Reiss R. Multifactorial analysis of septic bile and septic complications in biliary surgery. World J Surg. 1992;16(5):962–4. discussion 964–965.

    Article  CAS  PubMed  Google Scholar 

  96. Meijer WS, Schmitz PI, Jeekel J. Meta-analysis of randomized, controlled clinical trials of antibiotic prophylaxis in biliary tract surgery. Br J Surg. 1990;77(3):283–90.

    Article  CAS  PubMed  Google Scholar 

  97. Watters JM, Clancey SM, Moulton SB, Briere KM, Zhu JM. Impaired recovery of strength in older patients after major abdominal surgery. Ann Surg. 1993;218(3):380–90. discussion 390–383.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  98. Kudsk KA, Tolley EA, DeWitt RC, et al. Preoperative albumin and surgical site identify surgical risk for major postoperative complications. JPEN J Parenter Enteral Nutr. 2003;27(1):1–9.

    Article  PubMed  Google Scholar 

  99. Souba WW. Nutritional support. N Engl J Med. 1997;336(1):41–8.

    Article  CAS  PubMed  Google Scholar 

  100. Bittner R, Butters M, Ulrich M, Uppenbrink S, Beger HG. Total gastrectomy. Updated operative mortality and long-term survival with particular reference to patients older than 70 years of age. Ann Surg. 1996;224(1):37–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  101. Myrdal G, Gustafsson G, Lambe M, Horte LG, Stahle E. Outcome after lung cancer surgery. Factors predicting early mortality and major morbidity. Eur J Cardiothorac Surg. 2001;20(4):694–9.

    Article  CAS  PubMed  Google Scholar 

  102. Allen MS, Darling GE, Pechet TT, et al. Morbidity and mortality of major pulmonary resections in patients with early-stage lung cancer: initial results of the randomized, prospective ACOSOG Z0030 trial. Ann Thorac Surg. 2006;81(3):1013–9. discussion 1019–1020.

    Article  PubMed  Google Scholar 

  103. Cerfolio RJ, Bryant AS. Survival and outcomes of pulmonary resection for non-small cell lung cancer in the elderly: a nested case–control study. Ann Thorac Surg. 2006;82(2):424–9. discussion 429–430.

    Article  PubMed  Google Scholar 

  104. Coyle KA, Smith 3rd RB, Salam AA, Dodson TF, Chaikof EL, Lumsden AB. Carotid endarterectomy in the octogenarian. Ann Vasc Surg. 1994;8(5):417–20.

    Article  CAS  PubMed  Google Scholar 

  105. Maehara Y, Oshiro T, Oiwa H, et al. Gastric carcinoma in patients over 70 years of age. Br J Surg. 1995;82(1):102–5.

    Article  CAS  PubMed  Google Scholar 

  106. Jougon JB, Ballester M, Duffy J, et al. Esophagectomy for cancer in the patient aged 70 years and older. Ann Thorac Surg. 1997;63(5):1423–7.

    Article  CAS  PubMed  Google Scholar 

  107. de Perrot M, Licker M, Reymond MA, Robert J, Spiliopoulos A. Influence of age on operative mortality and long-term survival after lung resection for bronchogenic carcinoma. Eur Respir J. 1999;14(2):419–22.

    Article  PubMed  Google Scholar 

  108. Okada M, Nishio W, Sakamoto T, Harada H, Uchino K, Tsubota N. Long-term survival and prognostic factors of five-year survivors with complete resection of non-small cell lung carcinoma. J Thorac Cardiovasc Surg. 2003;126(2):558–62.

    Article  PubMed  Google Scholar 

  109. Thomas P, Sielezenff I, Rajni J, Giridicilli R, Fuentes P. Is lung cancer resection justified in patients aged over 70 years? Eur J Cardiothorac Surg. 1993;7:246–51.

    Article  CAS  PubMed  Google Scholar 

  110. Turrentine FE, Wang H, Simpson VB, Jones RS. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg. 2006;203(6):865–77.

    Article  PubMed  Google Scholar 

  111. Keller SM, Markovitz LJ, Wilder JR, Aufses Jr AH. Emergency and elective surgery in patients over age 70. Am Surg. 1987;53(11):636–40.

    CAS  PubMed  Google Scholar 

  112. Bingener J, Richards ML, Schwesinger WH, Strodel WE, Sirinek KR. Laparoscopic cholecystectomy for elderly patients: gold standard for golden years? Arch Surg. 2003;138(5):531–5. discussion 535–536.

    Article  PubMed  Google Scholar 

  113. Tambyraja AL, Kumar S, Nixon SJ. Outcome of laparoscopic cholecystectomy in patients 80 years and older. World J Surg. 2004;28(8):745–8.

    Article  PubMed  Google Scholar 

  114. Tsai TP, Chaux A, Matloff JM, et al. Ten-year experience of cardiac surgery in patients aged 80 years and over. Ann Thorac Surg. 1994;58(2):445–50. discussion 450–441.

    Article  CAS  PubMed  Google Scholar 

  115. Tseng EE, Lee CA, Cameron DE, et al. Aortic valve replacement in the elderly. Risk factors and long-term results. Ann Surg. 1997;225(6):793–802. discussion 802–794.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  116. Bender JS, Magnuson TH, Zenilman ME, et al. Outcome following colon surgery in the octagenarian. Am Surg. 1996;62(4):276–9.

    CAS  PubMed  Google Scholar 

  117. Spivak H, Maele DV, Friedman I, Nussbaum M. Colorectal surgery in octogenarians. J Am Coll Surg. 1996;183(1):46–50.

    CAS  PubMed  Google Scholar 

  118. Sisto D, Hoffman D, Frater RW. Isolated coronary artery bypass grafting in one hundred octogenarian patients. J Thorac Cardiovasc Surg. 1993;106(5):940–2.

    CAS  PubMed  Google Scholar 

  119. Logeais Y, Langanay T, Roussin R, et al. Surgery for aortic stenosis in elderly patients. A study of surgical risk and predictive factors. Circulation. 1994;90(6):2891–8.

    Article  CAS  PubMed  Google Scholar 

  120. Maurice-Williams RS, Kitchen ND. Intracranial tumours in the elderly: the effect of age on the outcome of first time surgery for meningiomas. Br J Neurosurg. 1992;6(2):131–7.

    Article  CAS  PubMed  Google Scholar 

  121. Tan KY, Chen CM, Ng C, Tan SM, Tay KH. Which octogenarians do poorly after major open abdominal surgery in our Asian population? World J Surg. 2006;30(4):547–52.

    Article  PubMed  Google Scholar 

  122. Adam DJ, Craig SR, Sang CT, Cameron EW, Walker WS. Esophagectomy for carcinoma in the octogenarian. Ann Thorac Surg. 1996;61(1):190–4.

    Article  CAS  PubMed  Google Scholar 

  123. Mathisen DJ, Grillo HC, Wilkins Jr EW, Moncure AC, Hilgenberg AD. Transthoracic esophagectomy: a safe approach to carcinoma of the esophagus. Ann Thorac Surg. 1988;45(2):137–43.

    Article  CAS  PubMed  Google Scholar 

  124. Bandoh T, Isoyama T, Toyoshima H. Total gastrectomy for gastric cancer in the elderly. Surgery. 1991;109(2):136–42.

    CAS  PubMed  Google Scholar 

  125. Katz NM, Chase GA. Risks of cardiac operations for elderly patients: reduction of the age factor. Ann Thorac Surg. 1997;63(5):1309–14.

    Article  CAS  PubMed  Google Scholar 

  126. Bernstein EF, Dilley RB, Randolph 3rd HF. The improving long-term outlook for patients over 70 years of age with abdominal aortic aneurysms. Ann Surg. 1988;207(3):318–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  127. Lo CY, van Heerden JA, Grant CS, Soreide JA, Warner MA, Ilstrup DM. Adrenal surgery in the elderly: too risky? World J Surg. 1996;20(3):368–73. discussion 374.

    Article  CAS  PubMed  Google Scholar 

  128. Giannice R, Foti E, Poerio A, Marana E, Mancuso S, Scambia G. Perioperative morbidity and mortality in elderly gynecological oncological patients (>/= 70 Years) by the American Society of Anesthesiologists physical status classes. Ann Surg Oncol. 2004;11(2):219–25.

    Article  PubMed  Google Scholar 

  129. Henry L, Halpin L, Hunt S, Holmes SD, Ad N. Patient disposition and long-term outcomes after valve surgery in octogenarians. Ann Thorac Surg. 2012;94(3):744–50.

    Google Scholar 

  130. http://www.ssa.gov/OACT/STATS/table4c6.html. Period life table, 2009. Actuarial Publications, Statistical Tables [Accessed Feb 25, 2014].

  131. Minino AM, Heron MP, Smith BL. Deaths: preliminary data for 2004. Natl Vital Stat Rep. 2006;54(19):1–49.

    Google Scholar 

  132. Nugent WC, Edney MT, Hammerness PG, Dain BJ, Maurer LH, Rigas JR. Non-small cell lung cancer at the extremes of age: impact on diagnosis and treatment. Ann Thorac Surg. 1997;63(1):193–7.

    Article  CAS  PubMed  Google Scholar 

  133. Beckett P, Callister M, Tata LJ, et al. Clinical management of older people with non-small cell lung cancer in England. Thorax. 2012;67(9):836–9.

    Google Scholar 

  134. Riaz SP, Linklater KM, Page R, Peake MD, Moller H, Luchtenborg M. Recent trends in resection rates among non-small cell lung cancer patients in England. Thorax. 2012;67(9):811–4.

    Google Scholar 

  135. Kuo CW, Chen YM, Chao JY, Tsai CM, Perng RP. Non-small cell lung cancer in very young and very old patients. Chest. 2000;117(2):354–7.

    Article  CAS  PubMed  Google Scholar 

  136. Fruh M, Rolland E, Pignon JP, et al. Pooled analysis of the effect of age on adjuvant cisplatin-based chemotherapy for completely resected non-small-cell lung cancer. J Clin Oncol. 2008;26(21):3573–81.

    Article  CAS  PubMed  Google Scholar 

  137. Cress RD, O'Malley CD, Leiserowitz GS, Campleman SL. Patterns of chemotherapy use for women with ovarian cancer: a population-based study. J Clin Oncol. 2003;21(8):1530–5.

    Article  PubMed  Google Scholar 

  138. Moore DH. Ovarian cancer in the elderly patient. Oncol (Huntingt). 1994;8(12):21–5; discussion 25, 29–30.

    Google Scholar 

  139. Edmonson JH, Su J, Krook JE. Treatment of ovarian cancer in elderly women. Mayo Clinic-North Central Cancer Treatment Group studies. Cancer. 1993;71(2 Suppl):615–7.

    CAS  PubMed  Google Scholar 

  140. Singletary SE, Shallenberger R, Guinee VF. Breast cancer in the elderly. Ann Surg. 1993;218(5):667–71.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  141. Wanebo HJ, Cole B, Chung M, et al. Is surgical management compromised in elderly patients with breast cancer? Ann Surg. 1997;225(5):579–86. discussion 586–579.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  142. Swanson RS, Sawicka J, Wood WC. Treatment of carcinoma of the breast in the older geriatric patient. Surg Gynecol Obstet. 1991;173(6):465–9.

    CAS  PubMed  Google Scholar 

  143. van Dalsen AD, de Vries JE. Treatment of breast cancer in elderly patients. J Surg Oncol. 1995;60(2):80–2.

    Article  PubMed  Google Scholar 

  144. Guadagnoli E, Shapiro C, Gurwitz JH, et al. Age-related patterns of care: evidence against ageism in the treatment of early-stage breast cancer. J Clin Oncol. 1997;15(6):2338–44.

    Article  CAS  PubMed  Google Scholar 

  145. Hebert-Croteau N, Brisson J, Latreille J, Blanchette C, Deschenes L. Compliance with consensus recommendations for the treatment of early stage breast carcinoma in elderly women. Cancer. 1999;85(5):1104–13.

    Article  CAS  PubMed  Google Scholar 

  146. Hurria A, Hurria A, Zuckerman E, et al. A prospective, longitudinal study of the functional status and quality of life of older patients with breast cancer receiving adjuvant chemotherapy. J Am Geriatr Soc. 2006;54(7):1119–24.

    Article  PubMed  Google Scholar 

  147. Silliman RA, Ganz PA. Adjuvant chemotherapy use and outcomes in older women with breast cancer: what have we learned? J Clin Oncol. 2006;24(18):2697–9.

    Article  PubMed  Google Scholar 

  148. Bilimoria KY, Stewart AK, Palis BE, Bentrem DJ, Talamonti MS, Ko CY. Adequacy and importance of lymph node evaluation for colon cancer in the elderly. J Am Coll Surg. 2008;206(2):247–54.

    Article  PubMed  Google Scholar 

  149. Chalmers RT, Stonebridge PA, John TG, Murie JA. Abdominal aortic aneurysm in the elderly. Br J Surg. 1993;80(9):1122–3.

    Article  CAS  PubMed  Google Scholar 

  150. Blanche C, Matloff JM, Denton TA, et al. Cardiac operations in patients 90 years of age and older. Ann Thorac Surg. 1997;63(6):1685–90.

    Article  CAS  PubMed  Google Scholar 

  151. Pierard S, Seldrum S, de Meester C, et al. Incidence, determinants, and prognostic impact of operative refusal or denial in octogenarians with severe aortic stenosis. Ann Thorac Surg. 2011;91(4):1107–12.

    Google Scholar 

  152. Riall TS, Sheffield KM, Kuo YF, Townsend CM, Jr., Goodwin JS. Resection benefits older adults with locoregional pancreatic cancer despite greater short-term morbidity and mortality. J Am Geriatr Soc. 2011;59(4):647–54.

    Google Scholar 

  153. Owonikoko TK, Ragin CC, Belani CP, et al. Lung cancer in elderly patients: an analysis of the surveillance, epidemiology, and end results database. J Clin Oncol. 2007;25(35):5570–7.

    Article  PubMed  Google Scholar 

  154. Kiran RP, Attaluri V, Hammel J, Church J. A novel nomogram accurately quantifies the risk of mortality in elderly patients undergoing colorectal surgery. Ann Surg. 2013;257(5):905–8.

    Google Scholar 

  155. Koppert LB, Lemmens VE, Coebergh JW, et al. Impact of age and co-morbidity on surgical resection rate and survival in patients with oesophageal and gastric cancer. Br J Surg. 2012;99(12):1693–700.

    Google Scholar 

  156. Finlayson E, Fan Z, Birkmeyer JD. Outcomes in octogenarians undergoing high-risk cancer operation: a national study. J Am Coll Surg. 2007;205(6):729–34.

    Article  PubMed  Google Scholar 

  157. Moskovitz AH, Rizk NP, Venkatraman E, et al. Mortality increases for octogenarians undergoing esophagogastrectomy for esophageal cancer. Ann Thorac Surg. 2006;82(6):2031–6. discussion 2036.

    Article  PubMed  Google Scholar 

  158. Ngaage DL, Cowen ME, Griffin S, Guvendik L, Cale AR. Early neurological complications after coronary artery bypass grafting and valve surgery in octogenarians. Eur J Cardiothorac Surg. 2008;33(4):653–9.

    Article  PubMed  Google Scholar 

  159. Leo F, Scanagatta P, Baglio P, et al. The risk of pneumonectomy over the age of 70. A case–control study. Eur J Cardiothorac Surg. 2007;31(5):780–2.

    Article  PubMed  Google Scholar 

  160. Lee JD, Bonaros N, Hong PT, et al. Factors influencing hospital length of stay after robotic totally endoscopic coronary artery bypass grafting. Ann Thorac Surg. 2013;95(3):813–8.

    Google Scholar 

  161. Barnett SD, Halpin LS, Speir AM, et al. Postoperative complications among octogenarians after cardiovascular surgery. Ann Thorac Surg. 2003;76(3):726–31.

    Article  PubMed  Google Scholar 

  162. Jarvinen O, Huhtala H, Laurikka J, Tarkka MR. Higher age predicts adverse outcome and readmission after coronary artery bypass grafting. World J Surg. 2003;27(12):1317–22.

    Article  PubMed  Google Scholar 

  163. Lightner AM, Glasgow RE, Jordan TH, et al. Pancreatic resection in the elderly. J Am Coll Surg. 2004;198(5):697–706.

    Article  PubMed  Google Scholar 

  164. Sosa JA, Mehta PJ, Wang TS, Boudourakis L, Roman SA. A population-based study of outcomes from thyroidectomy in aging Americans: at what cost? J Am Coll Surg. 2008;206(3):1097–105.

    Article  PubMed  Google Scholar 

  165. Mamoun NF, Xu M, Sessler DI, Sabik JF, Bashour CA. Propensity matched comparison of outcomes in older and younger patients after coronary artery bypass graft surgery. Ann Thorac Surg. 2008;85(6):1974–9.

    Article  PubMed  Google Scholar 

  166. Fraioli B, Pastore FS, Signoretti S, De Caro GM, Giuffre R. The surgical treatment of pituitary adenomas in the eighth decade. Surg Neurol. 1999;51(3):261–6. discussion 266–267.

    Article  CAS  PubMed  Google Scholar 

  167. Derks W, De Leeuw JR, Hordijk GJ, Winnubst JA. Elderly patients with head and neck cancer: short-term effects of surgical treatment on quality of life. Clin Otolaryngol. 2003;28(5):399–405.

    Article  CAS  PubMed  Google Scholar 

  168. Uruno T, Miyauchi A, Shimizu K, et al. Favorable surgical results in 433 elderly patients with papillary thyroid cancer. World J Surg. 2005;29(11):1497–501. discussion 1502–1493.

    Article  PubMed  Google Scholar 

  169. Salameh JR, Myers JL, Mukherjee D. Carotid endarterectomy in elderly patients: low complication rate with overnight stay. Arch Surg. 2002;137(11):1284–7. discussion 1288.

    Article  PubMed  Google Scholar 

  170. Durward QJ, Ragnarsson TS, Reeder RF, Case JL, Hughes CA. Carotid endarterectomy in nonagenarians. Arch Surg. 2005;140(7):625–8. discussion 628.

    Article  PubMed  Google Scholar 

  171. Beauford RB, Goldstein DJ, Sardari FF, et al. Multivessel off-pump revascularization in octogenarians: early and midterm outcomes. Ann Thorac Surg. 2003;76(1):12–7. discussion 17.

    Article  PubMed  Google Scholar 

  172. Chiappini B, Camurri N, Loforte A, Di Marco L, Di Bartolomeo R, Marinelli G. Outcome after aortic valve replacement in octogenarians. Ann Thorac Surg. 2004;78(1):85–9.

    Article  PubMed  Google Scholar 

  173. Collart F, Feier H, Kerbaul F, et al. Valvular surgery in octogenarians: operative risks factors, evaluation of Euroscore and long term results. Eur J Cardiothorac Surg. 2005;27(2):276–80.

    Article  PubMed  Google Scholar 

  174. Ferguson Jr TB, Hammill BG, Peterson ED, DeLong ER, Grover FL. A decade of change–risk profiles and outcomes for isolated coronary artery bypass grafting procedures, 1990–1999: a report from the STS National Database Committee and the Duke Clinical Research Institute. Society of Thoracic Surgeons. Ann Thorac Surg. 2002;73(2):480–9. discussion 489–490.

    Article  PubMed  Google Scholar 

  175. Huber CH, Goeber V, Berdat P, Carrel T, Eckstein F. Benefits of cardiac surgery in octogenarians–a postoperative quality of life assessment. Eur J Cardiothorac Surg. 2007;31(6):1099–105.

    Article  PubMed  Google Scholar 

  176. Rice DC, Correa AM, Vaporciyan AA, et al. Preoperative chemoradiotherapy prior to esophagectomy in elderly patients is not associated with increased morbidity. Ann Thorac Surg. 2005;79(2):391–7; discussion 391–397.

    Google Scholar 

  177. Ruol A, Portale G, Zaninotto G, et al. Results of esophagectomy for esophageal cancer in elderly patients: age has little influence on outcome and survival. J Thorac Cardiovasc Surg. 2007;133(5):1186–92.

    Article  PubMed  Google Scholar 

  178. Ruol A, Portale G, Castoro C, et al. Effects of neoadjuvant therapy on perioperative morbidity in elderly patients undergoing esophagectomy for esophageal cancer. Ann Surg Oncol. 2007;14(11):3243–50.

    Article  PubMed  Google Scholar 

  179. Poon RT, Law SY, Chu KM, Branicki FJ, Wong J. Esophagectomy for carcinoma of the esophagus in the elderly: results of current surgical management. Ann Surg. 1998;227(3):357–64.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  180. Kunisaki C, Akiyama H, Nomura M, et al. Comparison of surgical outcomes of gastric cancer in elderly and middle-aged patients. Am J Surg. 2006;191(2):216–24.

    Article  PubMed  Google Scholar 

  181. Avital S, Kashtan H, Hadad R, Werbin N. Survival of colorectal carcinoma in the elderly. A prospective study of colorectal carcinoma and a five-year follow-up. Dis Colon Rectum. 1997;40(5):523–9.

    Article  CAS  PubMed  Google Scholar 

  182. Barrier A, Ferro L, Houry S, Lacaine F, Huguier M. Rectal cancer surgery in patients more than 80 years of age. Am J Surg. 2003;185(1):54–7.

    Article  PubMed  Google Scholar 

  183. Law WL, Choi HK, Ho JW, Lee YM, Seto CL. Outcomes of surgery for mid and distal rectal cancer in the elderly. World J Surg. 2006;30(4):598–604.

    Article  PubMed  Google Scholar 

  184. Aldrighetti L, Arru M, Caterini R, et al. Impact of advanced age on the outcome of liver resection. World J Surg. 2003;27(10):1149–54.

    Article  PubMed  Google Scholar 

  185. Cescon M, Grazi GL, Del Gaudio M, et al. Outcome of right hepatectomies in patients older than 70 years. Arch Surg. 2003;138(5):547–52.

    Article  PubMed  Google Scholar 

  186. Ferrero A, Vigano L, Polastri R, et al. Hepatectomy as treatment of choice for hepatocellular carcinoma in elderly cirrhotic patients. World J Surg. 2005;29(9):1101–5.

    Article  PubMed  Google Scholar 

  187. Menon KV, Al-Mukhtar A, Aldouri A, Prasad RK, Lodge PA, Toogood GJ. Outcomes after major hepatectomy in elderly patients. J Am Coll Surg. 2006;203(5):677–83.

    Article  PubMed  Google Scholar 

  188. Sohn TA, Yeo CJ, Cameron JL, et al. Should pancreaticoduodenectomy be performed in octogenarians? J Gastrointest Surg. 1998;2(3):207–16.

    Article  CAS  PubMed  Google Scholar 

  189. Petrowsky H, Clavien PA. Should we deny surgery for malignant hepato-pancreatico-biliary tumors to elderly patients? World J Surg. 2005;29(9):1093–100.

    Article  PubMed  Google Scholar 

  190. Geisler JP, Geisler HE. Radical hysterectomy in patients 65 years of age and older. Gynecol Oncol. 1994;53(2):208–11.

    Article  CAS  PubMed  Google Scholar 

  191. Anderson JG, Wixson RL, Tsai D, Stulberg SD, Chang RW. Functional outcome and patient satisfaction in total knee patients over the age of 75. J Arthroplasty. 1996;11(7):831–40.

    Article  CAS  PubMed  Google Scholar 

  192. Wurtz LD, Feinberg JR, Capello WN, Meldrum R, Kay PJ. Elective primary total hip arthroplasty in octogenarians. J Gerontol A Biol Sci Med Sci. 2003;58(5):M468–71.

    Article  PubMed  Google Scholar 

  193. Hamel MB, Toth M, Legedza A, Rosen MP. Joint replacement surgery in elderly patients with severe osteoarthritis of the hip or knee: decision making, postoperative recovery, and clinical outcomes. Arch Intern Med. 2008;168(13):1430–40.

    Article  PubMed  Google Scholar 

  194. Malata CM, Cooter RD, Batchelor AG, Simpson KH, Browning FS, Kay SP. Microvascular free-tissue transfers in elderly patients: the leeds experience. Plast Reconstr Surg. 1996;98(7):1234–41.

    Article  CAS  PubMed  Google Scholar 

  195. George TJ, Kilic A, Beaty CA, Conte JV, Mandal K, Shah AS. Septuagenarians bridged to heart transplantation with a ventricular assist device have outcomes similar to younger patients. Ann Thorac Surg. 2013;95(4):1251–60; discussion 1260–1251.

    Google Scholar 

  196. Morgan JA, John R, Weinberg AD, et al. Long-term results of cardiac transplantation in patients 65 years of age and older: a comparative analysis. Ann Thorac Surg. 2003;76(6):1982–7.

    Article  PubMed  Google Scholar 

  197. Goldstein DJ, Bello R, Shin JJ, et al. Outcomes of cardiac transplantation in septuagenarians. J Heart Lung Transplant. 2012;31(7):679–85.

    Google Scholar 

  198. Mahidhara R, Bastani S, Ross DJ, et al. Lung transplantation in older patients? J Thorac Cardiovasc Surg. 2008;135(2):412–20.

    Article  PubMed  Google Scholar 

  199. Minor ME, Ellozy S, Carroccio A, et al. Endovascular aortic aneurysm repair in the octogenarian: is it worthwhile? Arch Surg. 2004;139(3):308–14.

    Article  PubMed  Google Scholar 

  200. St Peter SD, Craft RO, Tiede JL, Swain JM. Impact of advanced age on weight loss and health benefits after laparoscopic gastric bypass. Arch Surg. 2005;140(2):165–8.

    Article  PubMed  Google Scholar 

  201. Chautard J, Alves A, Zalinski S, Bretagnol F, Valleur P, Panis Y. Laparoscopic colorectal surgery in elderly patients: a matched case–control study in 178 patients. J Am Coll Surg. 2008;206(2):255–60.

    Article  PubMed  Google Scholar 

  202. Gianetta E, de Cian F, Cuneo S, et al. Hernia repair in elderly patients. Br J Surg. 1997;84(7):983–5.

    Article  CAS  PubMed  Google Scholar 

  203. Amemiya T, Oda K, Ando M, et al. Activities of daily living and quality of life of elderly patients after elective surgery for gastric and colorectal cancers. Ann Surg. 2007;246(2):222–8.

    Article  PubMed  PubMed Central  Google Scholar 

  204. Zierer A, Melby SJ, Lubahn JG, Sicard GA, Damiano Jr RJ, Moon MR. Elective surgery for thoracic aortic aneurysms: late functional status and quality of life. Ann Thorac Surg. 2006;82(2):573–8.

    Article  PubMed  Google Scholar 

  205. de Vincentiis C, Kunkl AB, Trimarchi S, et al. Aortic valve replacement in octogenarians: is biologic valve the unique solution? Ann Thorac Surg. 2008;85(4):1296–301.

    Article  PubMed  Google Scholar 

  206. Vicchio M, Della Corte A, De Santo LS, et al. Tissue versus mechanical prostheses: quality of life in octogenarians. Ann Thorac Surg. 2008;85(4):1290–5.

    Article  PubMed  Google Scholar 

  207. Dunlop WE, Rosenblood L, Lawrason L, Birdsall L, Rusnak CH. Effects of age and severity of illness on outcome and length of stay in geriatric surgical patients. Am J Surg. 1993;165(5):577–80.

    Article  CAS  PubMed  Google Scholar 

  208. Akoh JA, Mathew AM, Chalmers JW, Finlayson A, Auld GD. Audit of major gastrointestinal surgery in patients aged 80 years or over. J R Coll Surg Edinb. 1994;39(4):208–13.

    CAS  PubMed  Google Scholar 

  209. Battafarano RJ, Piccirillo JF, Meyers BF, et al. Impact of comorbidity on survival after surgical resection in patients with stage I non-small cell lung cancer. J Thorac Cardiovasc Surg. 2002;123(2):280–7.

    Article  PubMed  Google Scholar 

  210. Mehta RH, Eagle KA, Coombs LP, et al. Influence of age on outcomes in patients undergoing mitral valve replacement. Ann Thorac Surg. 2002;74(5):1459–67.

    Article  PubMed  Google Scholar 

  211. Muravchick S. Anesthesia for the elderly. In: Miller RD, editor. Anesthesia. 5th ed. Philadelphia: Churchill Livingston; 2000. p. 2140–56.

    Google Scholar 

  212. Barzan L, Veronesi A, Caruso G, et al. Head and neck cancer and ageing: a retrospective study in 438 patients. J Laryngol Otol. 1990;104(8):634–40.

    Article  CAS  PubMed  Google Scholar 

  213. Gupta R, Kawashima T, Ryu M, Okada T, Cho A, Takayama W. Role of curative resection in octogenarians with malignancy. Am J Surg. 2004;188(3):282–7.

    Article  PubMed  Google Scholar 

  214. Martin 2nd RC, Jaques DP, Brennan MF, Karpeh M. Extended local resection for advanced gastric cancer: increased survival versus increased morbidity. Ann Surg. 2002;236(2):159–65.

    Article  PubMed  PubMed Central  Google Scholar 

  215. Siegelmann-Danieli N, Khandelwal V, Wood GC, et al. Breast cancer in elderly women: outcome as affected by age, tumor features, comorbidities, and treatment approach. Clin Breast Cancer. 2006;7(1):59–66.

    Article  PubMed  Google Scholar 

  216. Levy B. Stereotype embodiment: a psychosocial approach to aging. Curr Dir Psychol Sci. 2009;18(6):332–6.

    Article  PubMed  PubMed Central  Google Scholar 

  217. Tsilimparis N, Perez S, Dayama A, Ricotta 2nd JJ. Age-stratified results from 20,095 aortoiliac aneurysm repairs: should we approach octogenarians and nonagenarians differently? J Am Coll Surg. 2012;215(5):690–701.

    Google Scholar 

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  1. Sinai Center for Geriatric Surgery, Department of Surgery, Sinai Hospital, 2401 West Belvedere Avenue, Baltimore, MD, 21215, USA

    Mark R. Katlic & JoAnn Coleman

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  1. Division of Pelvic NeuroScience, Department of Surgery, The Sinai Hospital of Baltimore, Baltimore, Maryland, USA

    David A. Gordon

  2. Sinai Center for Geriatric Surgery, Department of Surgery, Sinai Hospital, Baltimore, Maryland, USA

    Mark R. Katlic

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Katlic, M.R., Coleman, J. (2017). Principles of Geriatric Surgery. In: Gordon, D., Katlic, M. (eds) Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-6554-0_4

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