Journal of Surgery
Volume 7, Issue 4, August 2019, Pages: 114-118
Received: Jun. 7, 2019;
Accepted: Jul. 15, 2019;
Published: Aug. 5, 2019
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Kazuhiro Suzumura, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
Kenjiro Iida, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
Hideaki Iwama, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
Yusuke Kawabata, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
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.
Surgical Outcomes After Pancreaticoduodenectomy in Elderly Patients, Journal of Surgery.
Vol. 7, No. 4,
2019, pp. 114-118.
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