97歳の超高齢者に対して行った腹腔鏡下付属器摘出術の1例

抄録

  Recently, surgeons have more occasion to perform operations on elderly patients, as the population continues to age. However, very few studies have been made on the safety of gynecological laparoscopic surgery in elderly patients. The maximum age of a patient reported to undergo gynecological laparoscopic surgery was 86 years old. We report a case of laparoscopic salpingo-oophrectomy in an extremely elderly patient. The patient was a 97-year-old, gravia 7, para 6, performance status 0. She underwent medical examination due to abdominal distention, lower abdominal pain and frequent urination. A huge pelvic mass was revealed by abdominal ultrasonography, and was refered to our hospital. Magnetic resonance imaging showed a pelvic multiple cystic mass without solid part. The tumor marker was within normal limits. APA PS was class 2. Laparoscopic salpingo-oophrectomy was performed by epidural and spinal anesthesia. The tumor was a left side paraovarian cyst. After operation, symptoms disappeared. She was discharged without problems three days after operation. It was suggested that extremely elder people can receive operation safely with appropriate examination and management.