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首页> 外文期刊>Anticancer Research: International Journal of Cancer Research and Treatment >Hepatic Resection for Hepatocellular Carcinoma in the Elderly: Selecting Hepatectomy Procedures Based on Patient Age
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Hepatic Resection for Hepatocellular Carcinoma in the Elderly: Selecting Hepatectomy Procedures Based on Patient Age

机译：老年人肝细胞癌肝切除术：根据患者年龄选择肝切除术

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Background: The number of elderly patients who undergo hepatectomy for hepatocellular carcinoma (HCC) has been increasing. Therefore, criteria for selection of an appropriate hepatectomy procedure are required. Patients and Methods: Two hundred and twenty-nine HCC patients undergoing hepatectomy were enrolled in the present study. Patients were classified into two groups: the elderly group (age >= 75 years, n=34) and the non-elderly group (age <75 years, n=195). The hepatectomy procedure was selected based on the prognostic score (PS) formula, that includes patient age as a variable. Results: The incidence of non-anatomical resection was higher (p=0.015) and the weight of resected specimens was lower (p=0.019) in the elderly group than in the non-elderly group. No significant difference was observed in the postoperative complication rate between the two groups. The 5-year survival rates were comparable between the two groups. Conclusion: Favorable short-and long-term outcomes can be obtained based on cautious selection criteria for hepatectomy procedures, while considering patient age, in the treatment of elderly patients with HCC.
机译：背景：接受肝切除术治疗肝细胞癌（HCC）的老年患者数量一直在增加。因此，需要选择合适的肝切除手术标准。患者与方法：本研究纳入了229例行肝切除术的HCC患者。患者分为两组：老年组（年龄≥75岁，n = 34）和非老年组（年龄≤75岁，n = 195）。根据预后评分（PS）公式选择肝切除术，其中包括患者年龄作为变量。结果：与非老年人组相比，老年组非解剖切除的发生率更高（p = 0.015），切除标本的重量更低（p = 0.019）。两组术后并发症发生率无明显差异。两组的5年生存率相当。结论：在考虑老年患者时，根据谨慎的肝切除术选择标准，可以在考虑患者年龄的基础上获得良好的短期和长期疗效。

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