ArticleSurgery today2013
Pancreaticoduodenectomy can be safely performed in the elderly.
Article in Surgery today, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Pooled it
- Pancreatic surgery in elderly patients: results of 329 consecutive patients during 10 years.Frontiers in medicine · 2023Article
- Hepatobiliary and pancreatic surgery in the elderly: Current status.Annals of hepato-biliary-pancreatic surgery · 2020Review
- Elderly patients had more severe postoperative complications after pancreatic resection: A retrospective analysis of 727 patients.World journal of gastroenterology · 2018Article
- Laparoscopic pancreaticoduodenectomy in A-92-older Chinese patient for cancer of head of the pancreas: A Case report.Medicine · 2017Article
- Early Recurrence and Omission of Adjuvant Therapy after Pancreaticoduodenectomy Argue against a Surgery-First Approach.Annals of surgical oncology · 2016Article
- Effects of laparoscopic surgery on the patterns of death in elderly colorectal cancer patients: competing risk analysis compared with open surgery.Surgery today · 2016Article
- Postoperative Changes in Body Composition After Pancreaticoduodenectomy Using Multifrequency Bioelectrical Impedance Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Article
- Pancreaticoduodenectomy hospital resource utilization in octogenarians.American journal of surgery · 2016Article
- Hospital-level resource use by the oldest-old for pancreaticoduodenectomy at high-volume hospitals.Surgery · 2015Article
- Are there preoperative factors related to a "soft pancreas" and are they predictive of pancreatic fistulas after pancreatic resection?Surgery today · 2015Article
- Implementing an enhanced recovery program after pancreaticoduodenectomy in elderly patients: is it feasible?World journal of surgery · 2015Article
- Evaluation of a recently described risk classification scheme for pancreatic fistulae development after pancreaticoduodenectomy without routine post-operative drainage.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2014Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough pancreaticoduodenectomy has been recognized in the past for its severe complications, improvements in operative methods and perioperative management have made it a safe procedure. Therefore, pancreaticoduodenectomy can be performed in elderly patients, and our experience and outcomes are described in this report.
methodsWe retrospectively investigated 142 patients in whom pancreaticoduodenectomy was performed without stenting tubes during pancreaticojejunostomy. The patients were classified into two groups: (A) those older and (B) younger than 75 years. The outcomes, including preoperative characteristics, intraoperative characteristics, postoperative complications and mortality, are herein reported. Continuous variables were compared using Student's t test and the Chi-square test.
resultsThere were no differences between groups A and B in terms of sex, operative time, amount of blood loss, performance status, soft pancreas rate, disease distribution and operative procedure. Comorbidities in groups A and B were statistically different. Regarding the preoperative status, the elderly patients exhibited lower serum albumin and hemoglobin levels than the younger patients. There were no differences in mortality (0 vs. 0 %), morbidity (24.3 vs. 29.5 %, p = 0.362), postoperative hospital days or major complications such as pancreatic fistula development, delayed gastric emptying, intra-abdominal abscess development, biliary fistula formation and postpancreatectomy hemorrhage.
conclusionsPancreaticoduodenectomy can be safely performed in elderly as well as younger patients.
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