超高齢者(100歳以上)3例に対する手術経験

Aging in Japan has been gradually progressing year by year and it is considered there would be more opportunities to execute operation for very elderly people in future. We report this article because we have experienced operations for female aged over１００years old in three cases. The case １is for female at age of１０１. We executed right hemicolectomy and small bowel fistula expansion for ascending colon cancer ileus with coated perforation. Although we recognized subdelirium, the postoperative course showed a good progress and she was transferred to another hospital１７days after the operation. The case２is for female at age of１０１. We executed an elective hernial radical operation after manual correction for left inguinal hernia incarceration. We did not recognize any complication other than subdelirium and she was discharged from the hospital９days after the operation. The case３is for female at age of１０１. We executed right half colon ablation and complication ablation of small intestine for transverse colon cancer. The postoperative course showed no complication and she was lightheartedly discharged from the hospital１５days after the operation. Although３５cases of the operation for very elderly people aged over１００years old including the above-described operations were reported in Japan, there were only３cases in where the patients were actually dead with emergency operation ; therefore, it is considered that the execution of necessary operation should not be hesitated only by patient’s age.

四国医学雑誌 : http://www.tokushima-u.ac.jp/med/research/shikoku_acta_medica.html