Abstract
Surgeons have been hesitant to proceed to hepatectomy in elderly patients, due to the higher rate of comorbidities and the reduced reserves. An 81-year-old male with hepatocellular carcinoma in the segment VI of the liver and several major cardiovascular, pulmonary and metabolic comorbid illnesses was referred to our department for treatment. He underwent transarterial chemoembolization of the liver tumor and afterwards he underwent laparoscopic resection of the hepatic segment VI, with an uneventful postoperative course. This case indicates that laparoscopic liver resections could be applied even to elderly patients with major comorbidities after optimization of their medical status.
Highlights
Liver resection is the treatment of choice for many liver tumors
We report the case of an 81-yearold male with hepatocellular carcinoma and several comorbid illnesses who underwent laparoscopic liver segmentectomy in our department
Elderly patients frequently have a fragile health, as a result of many kinds of comorbidities that present at their age that are associated with reduced reserves
Summary
Wildes , Washington University School of Medicine (WUSM), St. Louis, USA Barnes-Jewish Hospital (BJH) and Washington University School of Medicine (WUSM), St. Louis, USA. Any reports and responses or comments on the article can be found at the end of the article. We have added details regarding patient’s functional independence, ability for physical activity, creatinine and urea serum levels, hematocrit, COPD symptoms and results of spirometry
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