Liver resection versus ablation in geriatric populations - Does one method impart improved in-hospital mortality?
Turk J Surg
; 40(1): 47-53, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-39035997
ABSTRACT
Objectives:
This study aimed to compare surgical resection versus ablation for managing liver malignancies in patients 65 and older. Material andMethods:
Cases with liver tumors were extracted from the NSQIP database for patients aged ≥65 years. Following propensity score matching, multivariate Cox regression was used for 30-day morbidity and mortality for liver resection and ablation.Results:
Following a propensity score matching, 1048 patients were 11 matched for comorbid conditions. Patients stayed in the hospital three days longer after resection (p<0.001). Mortality was lower after ablation (p= 0.013). This difference was more prominent in patients with primary liver tumors (p= 0.008). Group A had a 10-fold lower risk of developing an abdominal abscess, a fourfold decrease in hospital-associated pneumonia (p= 0.001) and reintubation, a 10-fold reduction in bleeding requiring transfusion (p<0.001), and a three-fold decrease in risk of developing sepsis (p<0.001).Conclusion:
Despite being a generally sicker patient population with worse underlying liver function, ablative techniques were associated with a lower risk of adverse outcomes when compared to more aggressive resection of primary malignant tumors of the liver.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article