ReviewAnnals of hepato-biliary-pancreatic surgery2020
Hepatobiliary and pancreatic surgery in the elderly: Current status.
Review in Annals of hepato-biliary-pancreatic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- FulminantAnnals of hepato-biliary-pancreatic surgery · 2026Article
- Article
- Article
- Predictive value of the geriatric nutritional risk index for postoperative outcomes and healthcare costs in patients undergoing pancreaticoduodenectomy.Updates in surgery · 2025Article
- Review
- Evaluating Laparoscopic and Robotic Liver Resection in Elderly Patients: A NSQIP Analysis of Short-Term Outcomes.Journal of surgical oncology · 2025Article
- High Geriatric Nutritional Risk Index Risk as a Predictor of Postoperative Complications and Early Mortality in Older Adult Patients Undergoing Pancreatoduodenectomy for Periampullary Malignancies.Journal of clinical medicine · 2025Article
- Laparoscopic versus open hepatic resection in patients ≥75 years old: A NSQIP analysis evaluating 2674 patients.Journal of surgical oncology · 2024Article
- Impact of frailty on postoperative outcomes after hepatectomy: A systematic review and meta-analysis.World journal of gastrointestinal surgery · 2024Article
- Pancreatic surgery in elderly patients: results of 329 consecutive patients during 10 years.Frontiers in medicine · 2023Article
- Effects of surgery on survival of elderly patients with gallbladder cancer: A propensity score matching analysis of the SEER database.Frontiers in oncology · 2023Article
- Hepatopancreaticobiliary Surgical Outcomes at a Community Hospital.Hawai'i journal of health & social welfare · 2022Article
- Scoring systems for the management of oncological hepato-pancreato-biliary patients.Annals of hepato-biliary-pancreatic surgery · 2022Review
- Major hepatectomy for perihilar cholangiocarcinoma in elderly patients: is it reasonable?Updates in surgery · 2022Article
- Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hepato-pancreatico-biliary (HPB) surgery includes major hepatic resection and pancreatic surgery, both procedures are complex and have a potentially high complication rate. The presence of centers of excellence with a high patients volume has lowered the complication and increased the resection rate. Increased life expectancy and improved general health status have increased the number of elderly patients eligible for major surgery. Since old patients have more co-morbidities and decreased life expectancy, the benefit of these procedures need to be critically evaluated in this group. Analysis of the literature related to this argument demonstrated that pancreatoduodenectomy can be performed safely in selected elderly patients (70 years of age or older), with morbidity and mortality rates comparable those observed in younger patients. This aspect was also confirmed by cost analysis studies that reported similar data in both groups. Similar findings are also reported for major hepatic resection in elderly patients with either hepatocellular carcinoma (HCC), Klatskin tumor or gallbladder carcinoma. More studies are needed regarding the subgroup of very elderly patients (80 years or older). Nevertheless, those elderly patients who will benefit from surgery must be adequatelly selected.
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Registered trials
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