Hepatectomy in Elderly Patients: Does Age Matter?
Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic sear...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Zhou, Yanming [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2013 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2013 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 37(2013), 12 vom: 20. Aug., Seite 2899-2910 |
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| Übergeordnetes Werk: |
volume:37 ; year:2013 ; number:12 ; day:20 ; month:08 ; pages:2899-2910 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00268-013-2184-5 |
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SPR003440931 |
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| 520 | |a Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic search was performed for relevant articles that compare the outcomes of hepatectomy in patients ≥70 years of age with those in younger patients prior to October 2012. Analysis of pooled data was performed with RevMan 5.0. Results Twenty-eight observational studies involving 15,480 patients were included in the analysis. Compared with the younger patients, elderly patients experienced more complications (31.8 vs 28.7 %; P = 0.002), mainly as a result of increased cardiac complications (7.5 vs 1.9 %; P < 0.001) and delirium (11.7 vs 4.5 %; P < 0.001). Postoperative major surgical complications (12.6 vs 11.3 %; P = 0.55) and mortality (3.6 vs 3.3 %; P = 0.68) were comparable between elderly and younger patients. For patients with malignancies, both the 5-year disease-free survival (26.5 vs 26.3 %; P = 0.60) and overall survival (39.5 vs 40.7 %; P = 0.29) did not differ significantly between the two groups. Conclusions Postoperative major surgical complications, mortality, and long-term results in elderly patients seem to be comparable with those in younger patients, suggesting that age alone should not be considered a contraindication for hepatectomy. | ||
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10.1007/s00268-013-2184-5 doi (DE-627)SPR003440931 (SPR)s00268-013-2184-5-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Hepatectomy in Elderly Patients: Does Age Matter? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic search was performed for relevant articles that compare the outcomes of hepatectomy in patients ≥70 years of age with those in younger patients prior to October 2012. Analysis of pooled data was performed with RevMan 5.0. Results Twenty-eight observational studies involving 15,480 patients were included in the analysis. Compared with the younger patients, elderly patients experienced more complications (31.8 vs 28.7 %; P = 0.002), mainly as a result of increased cardiac complications (7.5 vs 1.9 %; P < 0.001) and delirium (11.7 vs 4.5 %; P < 0.001). Postoperative major surgical complications (12.6 vs 11.3 %; P = 0.55) and mortality (3.6 vs 3.3 %; P = 0.68) were comparable between elderly and younger patients. For patients with malignancies, both the 5-year disease-free survival (26.5 vs 26.3 %; P = 0.60) and overall survival (39.5 vs 40.7 %; P = 0.29) did not differ significantly between the two groups. Conclusions Postoperative major surgical complications, mortality, and long-term results in elderly patients seem to be comparable with those in younger patients, suggesting that age alone should not be considered a contraindication for hepatectomy. Liver Resection (dpeaa)DE-He213 Hepatic Resection (dpeaa)DE-He213 Young Group (dpeaa)DE-He213 Colorectal Liver Metastasis (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Xiaofeng aut Zhang, Zuobing aut Liu, Xiaobin aut Wu, Lupeng aut Li, Yumin aut Li, Bin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 12 vom: 20. Aug., Seite 2899-2910 (DE-627)SPR003391159 nnns volume:37 year:2013 number:12 day:20 month:08 pages:2899-2910 https://dx.doi.org/10.1007/s00268-013-2184-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 12 20 08 2899-2910 |
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10.1007/s00268-013-2184-5 doi (DE-627)SPR003440931 (SPR)s00268-013-2184-5-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Hepatectomy in Elderly Patients: Does Age Matter? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic search was performed for relevant articles that compare the outcomes of hepatectomy in patients ≥70 years of age with those in younger patients prior to October 2012. Analysis of pooled data was performed with RevMan 5.0. Results Twenty-eight observational studies involving 15,480 patients were included in the analysis. Compared with the younger patients, elderly patients experienced more complications (31.8 vs 28.7 %; P = 0.002), mainly as a result of increased cardiac complications (7.5 vs 1.9 %; P < 0.001) and delirium (11.7 vs 4.5 %; P < 0.001). Postoperative major surgical complications (12.6 vs 11.3 %; P = 0.55) and mortality (3.6 vs 3.3 %; P = 0.68) were comparable between elderly and younger patients. For patients with malignancies, both the 5-year disease-free survival (26.5 vs 26.3 %; P = 0.60) and overall survival (39.5 vs 40.7 %; P = 0.29) did not differ significantly between the two groups. Conclusions Postoperative major surgical complications, mortality, and long-term results in elderly patients seem to be comparable with those in younger patients, suggesting that age alone should not be considered a contraindication for hepatectomy. Liver Resection (dpeaa)DE-He213 Hepatic Resection (dpeaa)DE-He213 Young Group (dpeaa)DE-He213 Colorectal Liver Metastasis (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Xiaofeng aut Zhang, Zuobing aut Liu, Xiaobin aut Wu, Lupeng aut Li, Yumin aut Li, Bin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 12 vom: 20. Aug., Seite 2899-2910 (DE-627)SPR003391159 nnns volume:37 year:2013 number:12 day:20 month:08 pages:2899-2910 https://dx.doi.org/10.1007/s00268-013-2184-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 12 20 08 2899-2910 |
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10.1007/s00268-013-2184-5 doi (DE-627)SPR003440931 (SPR)s00268-013-2184-5-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Hepatectomy in Elderly Patients: Does Age Matter? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic search was performed for relevant articles that compare the outcomes of hepatectomy in patients ≥70 years of age with those in younger patients prior to October 2012. Analysis of pooled data was performed with RevMan 5.0. Results Twenty-eight observational studies involving 15,480 patients were included in the analysis. Compared with the younger patients, elderly patients experienced more complications (31.8 vs 28.7 %; P = 0.002), mainly as a result of increased cardiac complications (7.5 vs 1.9 %; P < 0.001) and delirium (11.7 vs 4.5 %; P < 0.001). Postoperative major surgical complications (12.6 vs 11.3 %; P = 0.55) and mortality (3.6 vs 3.3 %; P = 0.68) were comparable between elderly and younger patients. For patients with malignancies, both the 5-year disease-free survival (26.5 vs 26.3 %; P = 0.60) and overall survival (39.5 vs 40.7 %; P = 0.29) did not differ significantly between the two groups. Conclusions Postoperative major surgical complications, mortality, and long-term results in elderly patients seem to be comparable with those in younger patients, suggesting that age alone should not be considered a contraindication for hepatectomy. Liver Resection (dpeaa)DE-He213 Hepatic Resection (dpeaa)DE-He213 Young Group (dpeaa)DE-He213 Colorectal Liver Metastasis (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Xiaofeng aut Zhang, Zuobing aut Liu, Xiaobin aut Wu, Lupeng aut Li, Yumin aut Li, Bin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 12 vom: 20. Aug., Seite 2899-2910 (DE-627)SPR003391159 nnns volume:37 year:2013 number:12 day:20 month:08 pages:2899-2910 https://dx.doi.org/10.1007/s00268-013-2184-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 12 20 08 2899-2910 |
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10.1007/s00268-013-2184-5 doi (DE-627)SPR003440931 (SPR)s00268-013-2184-5-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Hepatectomy in Elderly Patients: Does Age Matter? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic search was performed for relevant articles that compare the outcomes of hepatectomy in patients ≥70 years of age with those in younger patients prior to October 2012. Analysis of pooled data was performed with RevMan 5.0. Results Twenty-eight observational studies involving 15,480 patients were included in the analysis. Compared with the younger patients, elderly patients experienced more complications (31.8 vs 28.7 %; P = 0.002), mainly as a result of increased cardiac complications (7.5 vs 1.9 %; P < 0.001) and delirium (11.7 vs 4.5 %; P < 0.001). Postoperative major surgical complications (12.6 vs 11.3 %; P = 0.55) and mortality (3.6 vs 3.3 %; P = 0.68) were comparable between elderly and younger patients. For patients with malignancies, both the 5-year disease-free survival (26.5 vs 26.3 %; P = 0.60) and overall survival (39.5 vs 40.7 %; P = 0.29) did not differ significantly between the two groups. Conclusions Postoperative major surgical complications, mortality, and long-term results in elderly patients seem to be comparable with those in younger patients, suggesting that age alone should not be considered a contraindication for hepatectomy. Liver Resection (dpeaa)DE-He213 Hepatic Resection (dpeaa)DE-He213 Young Group (dpeaa)DE-He213 Colorectal Liver Metastasis (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Xiaofeng aut Zhang, Zuobing aut Liu, Xiaobin aut Wu, Lupeng aut Li, Yumin aut Li, Bin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 12 vom: 20. Aug., Seite 2899-2910 (DE-627)SPR003391159 nnns volume:37 year:2013 number:12 day:20 month:08 pages:2899-2910 https://dx.doi.org/10.1007/s00268-013-2184-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 12 20 08 2899-2910 |
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10.1007/s00268-013-2184-5 doi (DE-627)SPR003440931 (SPR)s00268-013-2184-5-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Hepatectomy in Elderly Patients: Does Age Matter? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic search was performed for relevant articles that compare the outcomes of hepatectomy in patients ≥70 years of age with those in younger patients prior to October 2012. Analysis of pooled data was performed with RevMan 5.0. Results Twenty-eight observational studies involving 15,480 patients were included in the analysis. Compared with the younger patients, elderly patients experienced more complications (31.8 vs 28.7 %; P = 0.002), mainly as a result of increased cardiac complications (7.5 vs 1.9 %; P < 0.001) and delirium (11.7 vs 4.5 %; P < 0.001). Postoperative major surgical complications (12.6 vs 11.3 %; P = 0.55) and mortality (3.6 vs 3.3 %; P = 0.68) were comparable between elderly and younger patients. For patients with malignancies, both the 5-year disease-free survival (26.5 vs 26.3 %; P = 0.60) and overall survival (39.5 vs 40.7 %; P = 0.29) did not differ significantly between the two groups. Conclusions Postoperative major surgical complications, mortality, and long-term results in elderly patients seem to be comparable with those in younger patients, suggesting that age alone should not be considered a contraindication for hepatectomy. Liver Resection (dpeaa)DE-He213 Hepatic Resection (dpeaa)DE-He213 Young Group (dpeaa)DE-He213 Colorectal Liver Metastasis (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Xiaofeng aut Zhang, Zuobing aut Liu, Xiaobin aut Wu, Lupeng aut Li, Yumin aut Li, Bin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 12 vom: 20. Aug., Seite 2899-2910 (DE-627)SPR003391159 nnns volume:37 year:2013 number:12 day:20 month:08 pages:2899-2910 https://dx.doi.org/10.1007/s00268-013-2184-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2013 12 20 08 2899-2910 |
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Hepatectomy in Elderly Patients: Does Age Matter? |
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Hepatectomy in Elderly Patients: Does Age Matter? |
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Zhou, Yanming |
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World Journal of Surgery |
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World Journal of Surgery |
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eng |
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2013 |
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Zhou, Yanming Zhang, Xiaofeng Zhang, Zuobing Liu, Xiaobin Wu, Lupeng Li, Yumin Li, Bin |
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37 |
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Elektronische Aufsätze |
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Zhou, Yanming |
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10.1007/s00268-013-2184-5 |
| title_sort |
hepatectomy in elderly patients: does age matter? |
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Hepatectomy in Elderly Patients: Does Age Matter? |
| abstract |
Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic search was performed for relevant articles that compare the outcomes of hepatectomy in patients ≥70 years of age with those in younger patients prior to October 2012. Analysis of pooled data was performed with RevMan 5.0. Results Twenty-eight observational studies involving 15,480 patients were included in the analysis. Compared with the younger patients, elderly patients experienced more complications (31.8 vs 28.7 %; P = 0.002), mainly as a result of increased cardiac complications (7.5 vs 1.9 %; P < 0.001) and delirium (11.7 vs 4.5 %; P < 0.001). Postoperative major surgical complications (12.6 vs 11.3 %; P = 0.55) and mortality (3.6 vs 3.3 %; P = 0.68) were comparable between elderly and younger patients. For patients with malignancies, both the 5-year disease-free survival (26.5 vs 26.3 %; P = 0.60) and overall survival (39.5 vs 40.7 %; P = 0.29) did not differ significantly between the two groups. Conclusions Postoperative major surgical complications, mortality, and long-term results in elderly patients seem to be comparable with those in younger patients, suggesting that age alone should not be considered a contraindication for hepatectomy. © Société Internationale de Chirurgie 2013 |
| abstractGer |
Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic search was performed for relevant articles that compare the outcomes of hepatectomy in patients ≥70 years of age with those in younger patients prior to October 2012. Analysis of pooled data was performed with RevMan 5.0. Results Twenty-eight observational studies involving 15,480 patients were included in the analysis. Compared with the younger patients, elderly patients experienced more complications (31.8 vs 28.7 %; P = 0.002), mainly as a result of increased cardiac complications (7.5 vs 1.9 %; P < 0.001) and delirium (11.7 vs 4.5 %; P < 0.001). Postoperative major surgical complications (12.6 vs 11.3 %; P = 0.55) and mortality (3.6 vs 3.3 %; P = 0.68) were comparable between elderly and younger patients. For patients with malignancies, both the 5-year disease-free survival (26.5 vs 26.3 %; P = 0.60) and overall survival (39.5 vs 40.7 %; P = 0.29) did not differ significantly between the two groups. Conclusions Postoperative major surgical complications, mortality, and long-term results in elderly patients seem to be comparable with those in younger patients, suggesting that age alone should not be considered a contraindication for hepatectomy. © Société Internationale de Chirurgie 2013 |
| abstract_unstemmed |
Background With the increase in average life expectancy in recent decades, the proportion of elderly patients requiring liver surgery is rising. The aim of the meta-analysis reported here was to evaluate the safety and efficacy of hepatectomy in elderly patients. Methods An extensive electronic search was performed for relevant articles that compare the outcomes of hepatectomy in patients ≥70 years of age with those in younger patients prior to October 2012. Analysis of pooled data was performed with RevMan 5.0. Results Twenty-eight observational studies involving 15,480 patients were included in the analysis. Compared with the younger patients, elderly patients experienced more complications (31.8 vs 28.7 %; P = 0.002), mainly as a result of increased cardiac complications (7.5 vs 1.9 %; P < 0.001) and delirium (11.7 vs 4.5 %; P < 0.001). Postoperative major surgical complications (12.6 vs 11.3 %; P = 0.55) and mortality (3.6 vs 3.3 %; P = 0.68) were comparable between elderly and younger patients. For patients with malignancies, both the 5-year disease-free survival (26.5 vs 26.3 %; P = 0.60) and overall survival (39.5 vs 40.7 %; P = 0.29) did not differ significantly between the two groups. Conclusions Postoperative major surgical complications, mortality, and long-term results in elderly patients seem to be comparable with those in younger patients, suggesting that age alone should not be considered a contraindication for hepatectomy. © Société Internationale de Chirurgie 2013 |
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Hepatectomy in Elderly Patients: Does Age Matter? |
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Zhang, Xiaofeng Zhang, Zuobing Liu, Xiaobin Wu, Lupeng Li, Yumin Li, Bin |
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