Journal of Surgery

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Surgical Outcomes After Pancreaticoduodenectomy in Elderly Patients

Received: 07 June 2019    Accepted: 15 July 2019    Published: 05 August 2019
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Abstract

Background: Pancreaticoduodenectomy (PD) is an aggressive surgery with considerable operative risks. Objective: The purpose of this study was to evaluate the safety of PD in patients of≥75 years of age and to show the influence of advanced age on the mortality and morbidity associated with PD. Methods: Between July 2009 and December 2013, 131 patients underwent PD at Hyogo College of Medicine. We analyzed the perioperative data and outcomes after PD in patients of≥75 years of age (elderly group) in comparison to those of patients of<75 years of age (younger group). Results: There were no differences between the elderly group (n=28) and younger group (n=103) in terms of gender, body mass index (BMI), biochemistry test results, operative time or intraoperative blood loss. There were significant differences in the incidence of preoperative complications in the elderly and younger groups. There were no differences in the rates of mortality (0% vs. 1%; p=0.601) or morbidity (64% vs. 49%; p=0.139). Morbidities included pancreatic fistula, delayed gastric emptying, intra-abdominal bleeding, intra-abdominal abscess, ascites and pneumonia. Conclusion: The preoperative complication rate in the elderly group was significantly higher than that in the younger group. However, PD can be performed safely in elderly patients and advanced age alone should not be a contraindication to PD.

DOI 10.11648/j.js.20190704.16
Published in Journal of Surgery (Volume 7, Issue 4, August 2019)
Page(s) 114-118
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Pancreaticoduodenectomy, Elderly Patients, Outcome

References
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Author Information
  • Department of Surgery, Hyogo College of Medicine, Hyogo, Japan

  • Department of Surgery, Hyogo College of Medicine, Hyogo, Japan

  • Department of Surgery, Hyogo College of Medicine, Hyogo, Japan

  • Department of Surgery, Hyogo College of Medicine, Hyogo, Japan

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  • APA Style

    Kazuhiro Suzumura, Kenjiro Iida, Hideaki Iwama, Yusuke Kawabata. (2019). Surgical Outcomes After Pancreaticoduodenectomy in Elderly Patients. Journal of Surgery, 7(4), 114-118. https://doi.org/10.11648/j.js.20190704.16

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    Kazuhiro Suzumura; Kenjiro Iida; Hideaki Iwama; Yusuke Kawabata. Surgical Outcomes After Pancreaticoduodenectomy in Elderly Patients. J. Surg. 2019, 7(4), 114-118. doi: 10.11648/j.js.20190704.16

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    AMA Style

    Kazuhiro Suzumura, Kenjiro Iida, Hideaki Iwama, Yusuke Kawabata. Surgical Outcomes After Pancreaticoduodenectomy in Elderly Patients. J Surg. 2019;7(4):114-118. doi: 10.11648/j.js.20190704.16

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  • @article{10.11648/j.js.20190704.16,
      author = {Kazuhiro Suzumura and Kenjiro Iida and Hideaki Iwama and Yusuke Kawabata},
      title = {Surgical Outcomes After Pancreaticoduodenectomy in Elderly Patients},
      journal = {Journal of Surgery},
      volume = {7},
      number = {4},
      pages = {114-118},
      doi = {10.11648/j.js.20190704.16},
      url = {https://doi.org/10.11648/j.js.20190704.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20190704.16},
      abstract = {Background: Pancreaticoduodenectomy (PD) is an aggressive surgery with considerable operative risks. Objective: The purpose of this study was to evaluate the safety of PD in patients of≥75 years of age and to show the influence of advanced age on the mortality and morbidity associated with PD. Methods: Between July 2009 and December 2013, 131 patients underwent PD at Hyogo College of Medicine. We analyzed the perioperative data and outcomes after PD in patients of≥75 years of age (elderly group) in comparison to those of patients ofp=0.601) or morbidity (64% vs. 49%; p=0.139). Morbidities included pancreatic fistula, delayed gastric emptying, intra-abdominal bleeding, intra-abdominal abscess, ascites and pneumonia. Conclusion: The preoperative complication rate in the elderly group was significantly higher than that in the younger group. However, PD can be performed safely in elderly patients and advanced age alone should not be a contraindication to PD.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Surgical Outcomes After Pancreaticoduodenectomy in Elderly Patients
    AU  - Kazuhiro Suzumura
    AU  - Kenjiro Iida
    AU  - Hideaki Iwama
    AU  - Yusuke Kawabata
    Y1  - 2019/08/05
    PY  - 2019
    N1  - https://doi.org/10.11648/j.js.20190704.16
    DO  - 10.11648/j.js.20190704.16
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 114
    EP  - 118
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20190704.16
    AB  - Background: Pancreaticoduodenectomy (PD) is an aggressive surgery with considerable operative risks. Objective: The purpose of this study was to evaluate the safety of PD in patients of≥75 years of age and to show the influence of advanced age on the mortality and morbidity associated with PD. Methods: Between July 2009 and December 2013, 131 patients underwent PD at Hyogo College of Medicine. We analyzed the perioperative data and outcomes after PD in patients of≥75 years of age (elderly group) in comparison to those of patients ofp=0.601) or morbidity (64% vs. 49%; p=0.139). Morbidities included pancreatic fistula, delayed gastric emptying, intra-abdominal bleeding, intra-abdominal abscess, ascites and pneumonia. Conclusion: The preoperative complication rate in the elderly group was significantly higher than that in the younger group. However, PD can be performed safely in elderly patients and advanced age alone should not be a contraindication to PD.
    VL  - 7
    IS  - 4
    ER  - 

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