title: Short- and long-term outcomes of elderly patients undergoing liver resection for colorectal liver metastasis.
abstract: BACKGROUND
  Metastatic colorectal cancer is a disease of advancing age. Increased life expectancy has dramatically increased the number of older patients being assessed for hepatectomy. The objective of the study is to assess the safety and survival of hepatic resection in older patients, with colorectal liver metastases (CLM) and compare that with younger patients.
  
  
  METHODS
  All patients undergoing hepatic resection of CLM were included. Patients were divided in groups, less than 75 and 75 and over. Prospectively collected data on patient demographics and post-operative complications were retrospectively analysed. Overall survival was calculated in both groups.
  
  
  RESULTS
  Twenty-nine patients over the age of 75 underwent hepatic resection for CLM. A total of 158 patients under the age of 75 underwent resection. Overall, 66% of patients received neoadjuvant chemotherapy and 64% underwent major resection. Ninety-day mortality was 1 out of 29 and 1 out of 158, respectively (P = 0.15). Overall complication rate was low, 4 out of 29 and 26 out of 158 (P = 0.45). Median length of stay was similar in the older population, 8.5 versus 8 days (P = 0.65). Overall 5-year survival was 58% in the over 75 group and 56% in the under 75 group (P = 0.31).
  
  
  CONCLUSIONS
  Hepatic resection for CLM can be achieved safely in patients over the age of 75 and with equivalent short- and long-term outcomes.
authors: Department of Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia.|Prince of Wales Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.
authors: Robert C
authors: RC
authors: Gandy
authors: Department of Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia.|Department of Anaesthesia, Prince of Wales Hospital, Sydney, New South Wales, Australia.
authors: Timothy
authors: T
authors: Stavrakis
authors: Department of Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia.|Prince of Wales Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.|Department of Surgery, St Vincent's Hospital, Sydney, New South Wales, Australia.
authors: Koroush S
authors: KS
authors: Haghighi
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000401:mortality / Q000473:pathology*; D018572:Disease-Free Survival; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality / Q000556:secondary* / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome
keywords: age; colorectal liver metastases; hepatectomy