Age 107, hepatobiliary surgery and thoracic epidural anesthesia: a successful experience.

The anesthesia management of chronic obstructive pulmonary disease (COPD) patients in upper abdominal surgery is fairly difficult. The application of general anesthesia includes post-operative pulmonary and cardiac complications. We aim to share our experience of a good alternative to general anesthesia in a stage four COPD geriatric patient with thoracic epidural block