KẾT QUẢ PHẪU THUẬT UNG THƯ TIÊU HÓA Ở BỆNH NHÂN TỪ 90 TUỔI TRỞ LÊN TẠI BỆNH VIỆN K

Abstract

Background: Population aging has led to an increasing proportion of cancer patients aged 90 years and older. Surgical indication in this age group remains controversial due to high complication risks and limited expected survival. Objective: To describe some clinical, paraclinical, and histopathological characteristics of patients aged 90 and above undergoing gastrointestinal cancer surgery at K Hospital, and to evaluate early postoperative outcomes in this patient group. Subjects and Methods: A descriptive retrospective and prospective combined study was conducted on 23 gastrointestinal cancer patients aged ≥90 years who underwent surgery at the Department of Abdominal Surgery 1, K Hospital from 2022 to 2025. Results: The mean age was 91.4 years; colorectal cancer accounted for the highest proportion (82.6%). Most patients had comorbidities (65.2%) and frailty status (91.5%). Curative surgery was performed in 73.9% of cases, mainly via open surgery. The complication rate was low (2 cases of pneumonia), with no 30-day postoperative mortality. Overall survival rates at 12 and 24 months post-surgery were 88.7% and 76.0%, respectively; median survival time was 32.4 months. Conclusion: Surgery for gastrointestinal cancer in patients aged ≥90 years can be safely performed with low complication rates and relatively favorable survival outcomes, provided appropriate patient selection and perioperative care.