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Assessing the feasibility of clinicopathological features of hepatic resection for hepatocellular carcinoma in patients over 80 years of age

  • Authors:
    • Hiroya Iida
    • Masaki Kaibori
    • Kosuke Matsui
    • Morihiko Ishizaki
    • Masanori Kon
  • View Affiliations / Copyright

    Affiliations: Department of Surgery, Kansai Medical University, Osaka 573‑1010, Japan
    Copyright: © Iida et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 29-38
    |
    Published online on: November 11, 2016
       https://doi.org/10.3892/mco.2016.1079
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Abstract

The aim of the present study was to evaluate the clinicopathological features, benefits and problems associated with hepatic resection of hepatocellular carcinoma in patients aged ≥80 years. Between 2006 and 2013, hepatic resection was performed in 395 hepatocellular carcinoma patients, including 351 patients aged <80 years and 44 patients aged ≥80 years. Clinicopathological examination revealed that the tumor size was significantly larger among patients of ≥80 years of age. However, recurrence‑free and cumulative survival rates were similar between the two age groups. The occurrence of post‑operative complications was an independent risk factor for survival among patients ≥80 years of age. In addition, the albumin level was identified as a risk factor for post‑operative complications. The post‑operative transition towards an improvement in the albumin level in the ≥80 years group was significantly lower compared with the <80 years group. It was revealed that hepatic resection was feasible for elderly patients. However, the post‑operative improvement in the albumin levels was less marked among patients ≥80 years of age, and lower albumin levels were associated with post‑operative complications and prognosis. Therefore, elderly patients undergoing hepatic resection should receive peri-operative management including special nutrition.
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Copy and paste a formatted citation
Spandidos Publications style
Iida H, Kaibori M, Matsui K, Ishizaki M and Kon M: Assessing the feasibility of clinicopathological features of hepatic resection for hepatocellular carcinoma in patients over 80 years of age. Mol Clin Oncol 6: 29-38, 2017.
APA
Iida, H., Kaibori, M., Matsui, K., Ishizaki, M., & Kon, M. (2017). Assessing the feasibility of clinicopathological features of hepatic resection for hepatocellular carcinoma in patients over 80 years of age. Molecular and Clinical Oncology, 6, 29-38. https://doi.org/10.3892/mco.2016.1079
MLA
Iida, H., Kaibori, M., Matsui, K., Ishizaki, M., Kon, M."Assessing the feasibility of clinicopathological features of hepatic resection for hepatocellular carcinoma in patients over 80 years of age". Molecular and Clinical Oncology 6.1 (2017): 29-38.
Chicago
Iida, H., Kaibori, M., Matsui, K., Ishizaki, M., Kon, M."Assessing the feasibility of clinicopathological features of hepatic resection for hepatocellular carcinoma in patients over 80 years of age". Molecular and Clinical Oncology 6, no. 1 (2017): 29-38. https://doi.org/10.3892/mco.2016.1079
Copy and paste a formatted citation
x
Spandidos Publications style
Iida H, Kaibori M, Matsui K, Ishizaki M and Kon M: Assessing the feasibility of clinicopathological features of hepatic resection for hepatocellular carcinoma in patients over 80 years of age. Mol Clin Oncol 6: 29-38, 2017.
APA
Iida, H., Kaibori, M., Matsui, K., Ishizaki, M., & Kon, M. (2017). Assessing the feasibility of clinicopathological features of hepatic resection for hepatocellular carcinoma in patients over 80 years of age. Molecular and Clinical Oncology, 6, 29-38. https://doi.org/10.3892/mco.2016.1079
MLA
Iida, H., Kaibori, M., Matsui, K., Ishizaki, M., Kon, M."Assessing the feasibility of clinicopathological features of hepatic resection for hepatocellular carcinoma in patients over 80 years of age". Molecular and Clinical Oncology 6.1 (2017): 29-38.
Chicago
Iida, H., Kaibori, M., Matsui, K., Ishizaki, M., Kon, M."Assessing the feasibility of clinicopathological features of hepatic resection for hepatocellular carcinoma in patients over 80 years of age". Molecular and Clinical Oncology 6, no. 1 (2017): 29-38. https://doi.org/10.3892/mco.2016.1079
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