Multidisciplinary treatment for colorectal liver metastases in elderly patients View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-07-17

AUTHORS

Taigo Hata, Yoshihiro Mise, Yoshihiro Ono, Takafumi Sato, Yosuke Inoue, Hiromichi Ito, Yu Takahashi, Katsuhiko Yanaga, Akio Saiura

ABSTRACT

BackgroundLimited data describe the therapeutic practice and outcomes of colorectal liver metastases (CRLMs) in elderly patients. We aimed to evaluate the impact of age on multidisciplinary treatment for CRLMs.MethodsWe reviewed treatment and outcomes for patients in different age groups who underwent initial hepatectomy for CRLMs from 2004 through 2012.ResultsWe studied 462 patients who were divided into three groups by age: ≤ 64 years (n = 265), 65–74 years (n = 151), and ≥ 75 years (n = 46). The rate of major hepatectomy and incidence of postoperative complications did not differ between groups. Adjuvant chemotherapy was used less in the ≥ 75-year group (19.6%) than that in the ≤ 64 (54.3%) or 65–74 age group (43.5%). Repeat hepatectomy for liver recurrence was performed less in the ≥ 75-year group (35%) than in the ≤ 64 (57%) or 65–74 (66%) age group. The 5-year disease-specific survival (DSS) rate of 44.2% in the ≥ 75-year group was lower than in the ≤ 64 (59.0%) or 65–74 (64.7%) age group. Multivariate analysis revealed age ≥ 75 years was an independent predictor of poor DSS.ConclusionsLiver resection for CRLMs can be performed safely in elderly patients. However, repeat resection for recurrence are performed less frequently in the elderly, which may lead to the poorer disease-specific prognosis. More... »

PAGES

173

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12957-020-01950-4

DOI

http://dx.doi.org/10.1186/s12957-020-01950-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1129451626

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32680531


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