Abstract
The aim of this study was to improve the understanding of the indications and associated outcomes among older adults undergoing splenectomy. Data regarding patients of age ≥60years treated between 1998 and 2008 were reviewed. Fifty patients (age 71.6±8) were identified. Common indications for splenectomy included idiopathic thrombotic purpura (26.0%) and lymphoma (28.0%). Patient co-morbidities included hypertension (54%), coronary artery disease (24%) and diabetes mellitus (20%). Twenty-seven patients (54%) underwent laparoscopic surgery; 23 (46%) had open procedures; more than half of open splenectomies were conversions from attempted laparoscopy. Mean post-operative length of stay (LOS) was 5.9±5days (range 1-21). Two patients died in hospital; an additional three died within 6months. Five patients were discharged to an extended care facility (ECF). Three patients required readmission within 30days. Increased age was associated with need for ECF (p=0.01). Increasing LOS, but not age, was associated with 6-month mortality (p=0.04). Although we noted a 10% in hospital mortality rate, splenectomy appears to be safe for carefully selected older adults.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call