Objective：To evaluate the clinical importance of P-POSSUM scoring system in predicting the risks of hepatectomy for liver cancer in patients over 60 years of age.
Methods：The clinical data of 382 patients over the age of 60 undergoing hepatectomy from January 2006 to December 2009 in our hospital were retrospectively analyzed. The predictive postoperative complication incidence and death were calculated with modified POSSUM (P-POSSUM) scoring system and the results were compared with those of the patients under 60 years of age operated at the same period.
Results：Of the patients over 60 years of age, the predictive complication incidence and death estimated by P-POSSUM scoring system was 43.71% (167/382) and 7.59% (29/382), and the actual complication incidence and death was 38.22% (146/382) and 4.97% (19/382), respectively (P＞0.05). In contrast, the predictive complication incidence and death were both higher than those of actual data (P＜0.05) in patients under 60 years of age.
Conclusions： P-POSSUM scoring system is valid for prediction of the postoperative complication incidence and mortality in the elderly patients undergiong hepatectomy, and this system can be used to guide perioperative management of patients over the age of 60.