Case Report: Laparoscopic hepatectomy in an elderly patient with major comorbidities

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 the safety and feasibility of laparoscopic liver resections in older patients, even when major comorbidities are present, provided that there is a careful planning of therapeutic strategy and operation.

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Case Report: Laparoscopic hepatectomy in an elderly patient with major comorbidities

F1000Research ◽

10.12688/f1000research.12078.2 ◽

2017 ◽

Vol 6 ◽

pp. 1286

Author(s):

Georgios C. Sotiropoulos ◽

Nikolaos Machairas ◽

Ioannis D. Kostakis

Keyword(s):

Hepatocellular Carcinoma ◽

Elderly Patient ◽

Case Report ◽

Elderly Patients ◽

Liver Tumor ◽

Transarterial Chemoembolization ◽

Laparoscopic Resection ◽

Laparoscopic Hepatectomy ◽

Postoperative Course ◽

Medical Status

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.

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Indocyanine green fluorescence-assisted laparoscopic hepatectomy for hepatocellular carcinoma in a pre-adolescent girl: a case report

10.12809/hkmj198106 ◽

2020 ◽

Vol 26 (4) ◽

pp. 342-344

Author(s):

Patrick HY Chung ◽

Kenneth SH Chok ◽

Kenneth KY Wong

Keyword(s):

Hepatocellular Carcinoma ◽

Case Report ◽

Indocyanine Green ◽

Adolescent Girl ◽

Laparoscopic Hepatectomy ◽

Green Fluorescence ◽

Indocyanine Green Fluorescence

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Recurrent cornual pregnancy: a case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20212987 ◽

2021 ◽

Vol 10 (8) ◽

pp. 3229

Author(s):

Neelotparna Saikia ◽

Sukalyan Halder ◽

Punam Jain

Keyword(s):

Case Report ◽

Mortality Rate ◽

Ectopic Pregnancy ◽

Vaginal Delivery ◽

Laparoscopic Resection ◽

Significant Risk ◽

Normal Vaginal Delivery ◽

Cornual Pregnancy ◽

Postoperative Course ◽

Ectopic Pregnancies

Cornual ectopic pregnancy accounts for 2-4% of all the ectopic pregnancies with a mortality rate 6-7 times higher than that of the ectopics in general. It is a diagnostic and therapeutic challenge to the clinician with a significant risk of rupturing and bleeding. As of yet, the incidence of recurrent cornual ectopic pregnancies is unknown. This report described the case of a patient who developed two cornual ectopic pregnancies within a span of 3 years with an intervening full term normal vaginal delivery. The 1st cornual ectopic was successfully managed by laparoscopic resection, which was followed by an uneventful postoperative course. The following contralateral cornual ectopic was managed by laparotomy since the patient presented with large hemoperitoneum.

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The lack of professionalism and ethics in the treatment of an elderly patient / Nedostatak profesionalizma i etike u tretmanu starijeg pacijenta

SESTRINSKI ŽURNAL ◽

10.7251/sez0215033i ◽

2015 ◽

Vol 2 (2) ◽

pp. 33

Author(s):

Tatjana Ivanković Zrnić

Keyword(s):

Health Care ◽

Elderly Patient ◽

Elderly Patients ◽

Medical Staff ◽

Older Patients ◽

Birth Rate ◽

The Elderly ◽

Pubmed Central ◽

Personalized Care ◽

Prolonged Life Expectancy

An apparent decline in the birth rate that accompanies the aging population with prolonged life expectancy requires greater investment in the health care of the elderly. It is necessary to identify the conditions that naturally carries the older times, expect a slower recovery in comparison to young people, but do not exclude recovery in treatment.In practice we often encounter indifference and neglect of an elderly patient by the medical staff, the assumption is that this is justified by insufficiently motivated patient.Searching PubMed, PubMed Central, Google Scholar and HINARI, we analyzed how this topic is present in nivioma protects the health and recognizing the importance of personalized care for older patients in the world.The results of many studies indicate that there is a neglect of elderly patients, resulting in poor outcome of care.Requires additional training of staff working with elderly patients to improving attitudes and extreme improve the treatment of these patients.Negative attitudes towards older patients contribute to business dissatisfaction medical staff.

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Agenesis of the left hepatic lobe undergoing laparoscopic hepatectomy for hepatocellular carcinoma: a case report

Surgical Case Reports ◽

10.1186/s40792-017-0325-z ◽

2017 ◽

Vol 3 (1) ◽

Cited By ~ 3

Author(s):

Katsunori Matsushita ◽

Kunihito Gotoh ◽

Hidetoshi Eguchi ◽

Yoshihumi Iwagami ◽

Daisaku Yamada ◽

...

Keyword(s):

Hepatocellular Carcinoma ◽

Case Report ◽

Laparoscopic Hepatectomy ◽

Left Hepatic Lobe ◽

Hepatic Lobe

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Video case report of laparoscopic resection of hepatocellular carcinoma following liver transplantation

ASVIDE ◽

10.21037/asvide.2019.118 ◽

2019 ◽

Vol 6 ◽

pp. 118-118

Author(s):

Giovanni Vennarecci ◽

Giammauro Berardi ◽

Nicola Guglielmo ◽

Mario Antonini ◽

Giuseppe Maria Ettorre

Keyword(s):

Hepatocellular Carcinoma ◽

Liver Transplantation ◽

Case Report ◽

Laparoscopic Resection ◽

Video Case Report

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Laparoscopic versus Open Hepatectomy for Hepatocellular Carcinoma in Elderly Patients: A Single-Institutional Propensity Score Matching Comparison

Digestive Surgery ◽

10.1159/000510960 ◽

2020 ◽

Vol 37 (6) ◽

pp. 495-504

Author(s):

Wethit Dumronggittigule ◽

Ho-Seong Han ◽

Soyeon Ahn ◽

Yoo-Seok Yoon ◽

Jai Young Cho ◽

...

Keyword(s):

Hepatocellular Carcinoma ◽

Propensity Score ◽

Elderly Patients ◽

Propensity Score Matching ◽

Laparoscopic Hepatectomy ◽

Perioperative Outcomes ◽

High Morbidity ◽

Complication Rates ◽

High Morbidity Rate ◽

Open Hepatectomy

Background: The incidence of hepatocellular carcinoma (HCC) in elderly patients is increasing worldwide. Although open hepatectomy (OH) yields acceptable outcomes, high morbidity rate is concerned. Laparoscopic hepatectomy (LH) has evolved to improve perioperative outcomes. However, comparative study between both techniques for elderly patients with HCC is scarce. Objective: This study aimed to compare outcomes between LH and OH specifically. Methods: HCC patients aged ≥70 years after hepatectomy (2003–2018) were included. The propensity score matching (PSM) and comparative analyses between groups were performed. Results: After PSM, there were 41 patients in each group with similar demographics, radiographic tumor characteristics, cirrhotic status, and extent of resection. The LH group had a shorter hospital stay (7 vs. 11 days, p = 0.002) compared with the OH group. The completeness of resection and complication rates were not statistically different between groups. The 5-year overall survival and recurrence-free survival rates were 86.7 and 43.4% in the LH group and 62.2 and 30.8% in the OH group (p = 0.221 and 0.500). Conclusion: Our study confirmed the operative and oncological safety of LH in elderly HCC patients with improved perioperative outcomes compared with OH.

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