Surgical Outcomes After Pancreaticoduodenectomy in Elderly Patients

Kazuhiro Suzumura; Kenjiro Iida; Hideaki Iwama; Yusuke Kawabata

doi:doi:10.11648/j.js.20190704.16

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Surgical Outcomes After Pancreaticoduodenectomy in Elderly Patients

Kazuhiro Suzumura, Kenjiro Iida, Hideaki Iwama, Yusuke Kawabata

Published in Journal of Surgery (Volume 7, Issue 4)

Received: 7 June 2019 Accepted: 15 July 2019 Published: 5 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.

Published in	Journal of Surgery (Volume 7, Issue 4)
DOI	10.11648/j.js.20190704.16
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), 2019. Published by Science Publishing Group

Keywords

Pancreaticoduodenectomy, Elderly Patients, Outcome

References

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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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ACS 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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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://article.sciencepublishinggroup.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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Author Information

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

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Plain Text BibTeX RIS

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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ACS 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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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

Copy | Download

@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://article.sciencepublishinggroup.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}
}

Copy | Download

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  -

Copy | Download