Abstract
We studied clinicopathological findings in thirty-four aged patients, over 70 years, with HCC undergoing hepatectomy in comparison with eighty-one younger patients, less than 70 years. There was a tendency that the incidence of women in the aged patients was higher, and of HBs-Ag lower than younger patients. But there was no difference in other clinicopathological findings. Twenty-one (62%) aged patients underwent curative hepatectomy and their cumulative 5 year survival rate without operation deaths was 53%. There was no significant difference between the two patients groups in the following factors; operative death, postoperative hepatic failure, and pulmonary complications in the incidence, average postoperative hospital stay, cumulative recurrence rate, and survival rate. From these findings, we can expect good prognosis of aged patients with hepatocellular carcinoma which is almost equivalent to that of younger patients, if appropriate operative procedure is selected taking their stages into consideration.
