Safety and Efficacy of Hepatectomy for Colorectal Metastases in the Elderly
Robert M. Cannon*, Robert C. Martin, Glenda Callender, Kelly M. Mcmasters, Charles R. Scoggins
Surgery, University of Louisville, Louisville, KY
Introduction
Metastasectomy is the most effective therapy for hepatic colorectal metastases, yet the safety and efficacy of liver resection in elderly patients is not fully understood. The aim of this study was to determine the safety and efficacy of hepatic metastasectomy in elderly patients with colorectal liver metastases (CLM).
Methods
| Age | Morbidity (%) | Mortality (%) | EBL (ml, median) | LOS (days, median) | Fong Score (median) | Transfused (%) | Major Hepatectomy (%) | Pringle (%) | Synchronous Colectomy (%) | R0 Resection (%) |
| ≥70 | 52.5 | 0 | 250 | 7 | 2 | 54.2 | 52.5 | 37.5 | 15.3 | 81.4 |
| <70 | 48.2 p=0.56 | 0.91 p=1.0 | 300 p=0.44 | 7 p=0.23 | 2 p=0.45 | 50.7 p=0.66 | 53.1 p=0.93 | 27.8 p=0.11 | 10.1 p=0.36 | 88.7 p=0.14 |
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