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The Physiological and Anesthetic Considerations in Octogenarians Undergoing Laparoscopic Radical Nephrectomy

As the worldwide population ages, an increasing number of elderly patients with renal malignancy are considered for laparoscopic radical renal surgery. We present a systematic review of physiological and anesthetic considerations in octogenarians undergoing this procedure. We highlight the importance of overall assessment of risk has been made; discussion must take place to devise the safest perioperative course between anesthetist, surgeon, patient, and where appropriate an interventionist. Age itself should not deter this type of surgery; however it should invoke the need for special perioperative planning and care.