Multimodal approach to liver neoplasm in elderly patients. A single center experience

Surgical therapy remains the gold standard for treatment of liver neoplasms. In the last 20 years we assisted to an increase of survival in patients with a diagnosis of hepatocellular carcinoma (HCC), according to screening programs, and a multimodal therapeutical approach. In the last years it was an increase of elderly patients with HCC cause of the increase of infection of HCV and an increase of geriatric patients; together with HCC, hepatic metastases represent the main topics of our investigation. Is justified an aggressive approach to liver neoplasms in the elderly? Recent studies show as elderly is not a contraindication to major hepatic surgery. The aim of this study is to evaluate the effective advantage of multimodal approach to hepatic surgery in elderly population (70 years old and older).