肝胆胰外科杂志2011，Vol.23Issue(3)：212-214,218,4.
老年患者原发性肝细胞癌肝切除术后疗效分析
Outcomes of elderly patients with hepatocelluar carcinoma undergone hepatectomy
张乐 1李响 1牟楠楠 2张诚华1
作者信息
- 1. 解放军第180医院,普外科,福建,泉州,362000
- 2. 济南军区总医院,超声诊断科,山东,济南,250031
- 折叠
摘要
Abstract
Objective To evaluate the curative effect of hepatectomy for elderly patients with hepatocelluar carcinoma (HCC). Methods From January 1989 to December 2008, 1225 patients with HCC underwent hepatectomy in our hospital. The clinical data and treatment outcomes of 112 elderly patients suffered from HCC (elderly group, ≥60 years of age) and 135 younger patients (control group, ＜60 years of age) who selected randomly from the 1225 patients were retrospectively analyzed. Results The rate of postoperative complications was 8.9％(10/112) in the elderly group, and 11.1％(15/135) in the control group. There was no significant difference between two groups. The tumor-free survival rates after hepatectomy at 1. 3 and 5 years were 66.2％, 48.7％ and 43.2％ in the elderly group respectively, and 63.2％, 41.2％ and 37.3％ in the control group, respectively. The was no significant difference between two groups. The overall survival rates after hepatectomy at 1, 3 and 5 year were 82.2％ , 55.4％ and 43.5％ in the elderly group respectively, and 70.8％, 37.1％ and 30.9％ in the control group, respectively. The postoperative long-term survival rate in the elderly group was significantly better than that in the control group (P=0.012). Conclusion Hepatic resection is effective for elderly patients with HCC. For the elderly patients without preoperative comorbidities or with controlled comorbidities, hepatic resection is a safe and effective treatment.关键词
老年人/原发性肝细胞癌/肝切除术/预后分类
医药卫生引用本文复制引用
张乐,李响,牟楠楠,张诚华..老年患者原发性肝细胞癌肝切除术后疗效分析[J].肝胆胰外科杂志,2011,23(3):212-214,218,4.
