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Table 3 Clinical data for 21 cancelled cases followed up after one year

From: The effects of a preoperative multidisciplinary conference on outcomes for high-risk patients with challenging surgical treatment options: a retrospective study

No.

Age/sex

Diagnosis

Planned surgery

Reason(s) for cancellation

Outcome after one year

1

87/F

Ileus

Gastrojejunal bypass

Terminal stage, peritoneal carcinomatosis, aspiration pneumonia

Died of cancer 99 days after the conference

2

54/F

Brain tumor, SLE

Resection

Severe infection due to long-term steroid administration

Survived

3

74/F

Ileus

Metallic stent insertion

Terminal stage, peritoneal carcinomatosis, liver failure

Died of cancer 24 days after the conference

4

69/M

Lung cancer, empyema with bronchopleural fistula

Musculocutaneous flaps plombage

Respiratory failure

Died of respiratory failure 13 days after the conference

5

64/F

Pancreatic cancer, SLE

PD

Pancreatitis, CKD on HD

Died of cancer 121 days after the conference

6

70/M

Oesophageal cancer

Esophagectomy

COPD on HOT

Radiotherapy and chemotherapy, survived

7

68/F

Hepatic hemangioma

Resection

CKD on HD

Survived

8

56/F

Metastatic ovarian cancer

BSO

Surgical difficulty, rapidly growing cancer

Died of cancer 19 days after the conference

9

80/M

Gangrene of the lower limb

Amputation

Low cardiac function, COPD, CKD on HD

Died of heart failure four days after the conference

10

46/M

Liver failure

Living donor liver transplant

Ethical issue (family refusal)

Died of liver failure the day after the conference

11

1/M

Liver tumor

Open biopsy

Low birth weight, tracheomalacia, chronic lung disease

Survived

12

72/M

Lung cancer

Partial pulmonary resection

COPD

Chemotherapy, survived

13

79/M

Gastric cancer

Complete gastrectomy

CKD on HD, carotid artery stenosis

Chemotherapy, survived

14

43/F

Large retroperitoneal tumor

Resection

Surgical difficulty

Chemotherapy, survived

15

72/M

Renal-cell carcinoma

Laparoscopic nephrectomy

Pneumonia, heart failure

Died of pneumonia 19 days after conference

16

1/M

Pilomyxoid astrocytoma

Ventriculoperitoneal shunt

Ethical issue (patient in vegetative state)

Radiotherapy, survived

17

63/F

Spondylolisthesis

Spinal fusion

LC, CKD on HD, PE

Survived

18

79/M

Gastric cancer

Complete gastrectomy

COPD, AS, CAD

Died of MI 23 days after the conference

19

76/M

Large retroperitoneal tumor

Resection

Surgical difficulty

Chemotherapy, survived

20

34/M

Cervical spine injury, AIDS

Internal fixation

Severe infection

Died of pneumonia seven days after the conference

21

68/M

Lung cancer, bronchopleural fistula

Closure

COPD

Died of cancer 134 days after the conference

  1. Abbreviations: AIDS acquired immunodeficiency syndrome, AS aortic valve stenosis, BSO bilateral salpingo-oophorectomy, CAD coronary artery disease, CKD chronic kidney disease, COPD chronic obstructive pulmonary disease, HD hemodialysis, HOT home oxygen therapy, LC liver cirrhosis, MI myocardial infarction, PD pancreaticoduodenectomy, PE pulmonary embolism, SLE systemic lupus erythematosus