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Journal of Hepato-Biliary-Pancreatic Sciences

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01-09-2009 | Original article

A pancreaticoduodenectomy is acceptable for periampullary tumors in the elderly, even in patients over 80 years of age

Authors: Masaji Tani, Manabu Kawai, Seiko Hirono, Shinomi Ina, Motoki Miyazawa, Ryohei Nishioka, Atsushi Shimizu, Kazuhisa Uchiyama, Hiroki Yamaue

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 5/2009

Abstract

Background

Although the mortality rates for pancreaticoduodenectomy have been reported to be low for periampullary tumors at high-volume centers, postoperative results still remain unclear for elderly patients over 80 years of age.

Methods

This was a retrospective study of patients who underwent a pancreaticoduodenectomy and consisted of 335 patients who were treated for periampullary tumors between January 1994 and August 2008. The main outcomes were postoperative complications, mortality, and the length of hospital stay among the elderly patients, and they were analyzed in three groups: elderly patients over 80 years old, septuagenarians, and those under 70 years of age.

Results

The performance status of elderly patients was lower than that of the patients under 70 (P < 0.05), and the elderly had a higher American Society of Anesthesiologists physical status classification score (P < 0.001) as well as low hemoglobin and serum albumin levels (P < 0.01 and P < 0.001, respectively). The incidence of delayed gastric emptying in the elderly was higher; however, there was no significant difference. The other outcomes in the elderly group were similar to those of the other groups.

Conclusions

Pancreaticoduodenectomy was considered to be a feasible surgical procedure for elderly patients who had a good performance status.

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Title: A pancreaticoduodenectomy is acceptable for periampullary tumors in the elderly, even in patients over 80 years of age
Authors: Masaji Tani
Manabu Kawai
Seiko Hirono
Shinomi Ina
Motoki Miyazawa
Ryohei Nishioka
Atsushi Shimizu
Kazuhisa Uchiyama
Hiroki Yamaue
Publication date: 01-09-2009
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 5/2009
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-009-0106-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

A pancreaticoduodenectomy is acceptable for periampullary tumors in the elderly, even in patients over 80 years of age

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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