Uwatoko Shugo, Yamamoto Kentaroh, Sasaki Takamitsu, Fukumori Daisuke, Igimi Hirotsune, Yamamoto Mami, Yamamoto Fumio, Yamashita Yuichi
Department of Surgery, Yamamoto Memorial Hospital, Imari, Japan.
Department of Gastroenterological Surgery, Fukuoka University School of Medicine, Fukuoka, Japan.
Case Rep Gastroenterol. 2015 Feb 10;9(1):49-55. doi: 10.1159/000368115. eCollection 2015 Jan-Apr.
Hepatocellular carcinoma (HCC) is a common malignant tumor with poor prognosis. The age of patients affected by HCC is considered to be increasing, and several studies have reported significantly higher rates of morbidity and mortality after hepatectomy for HCC in elderly patients. However, other studies have reported that the short- and long-term outcomes of surgery for HCC in elderly patients are similar to those in younger patients. Whether the indications for hepatic resection in elderly patients resemble those in younger patients has thus been questioned. We describe two cases of patients over 90 years old who underwent major hepatectomy for HCC, representing the oldest patients in the world to have done so.
肝细胞癌（HCC）是一种预后较差的常见恶性肿瘤。HCC患者的年龄被认为在增加，并且有几项研究报告称，老年患者肝癌肝切除术后的发病率和死亡率显著更高。然而，其他研究报告称，老年患者肝癌手术的短期和长期结果与年轻患者相似。因此，老年患者肝切除的指征是否与年轻患者相似受到了质疑。我们描述了两例90岁以上的患者，他们接受了肝癌大肝切除术，是世界上接受该手术年龄最大的患者。
