Evidence map›Paper›PMID 41044585›Full record

ArticleBMC surgery2025

Incidence rates of post-pancreatectomy complications are similar between octogenarians and non-octogenarians and decrease after minimally invasive pancreatic surgery : a retrospective cohort study.

Ryo Saito, Hidetake Amemiya, Wataru Izumo, Yuuki Nakata, Takashi Nakayama, Kazunori Takahashi, Suguru Maruyama, Koichi Takiguchi, Katsutoshi Shoda, Kensuke Shiraishi and 4 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Ryo SaitoFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Hidetake AmemiyaFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Wataru IzumoFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Yuuki NakataFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Takashi NakayamaFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Kazunori TakahashiFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Suguru MaruyamaFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Koichi TakiguchiFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Katsutoshi ShodaFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Kensuke ShiraishiFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Shinji FuruyaFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Yoshihiko KawaguchiFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Hiromichi KawaidaFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan.
Daisuke IchikawaFaculty of Medicine, First Department of Surgery, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 4093898, Japan. dichikawa@yamanashi.ac.jp.

Funding

Japan Society for the Promotion of Science 23K15492
6 · The paper itself

Abstract

backgroundThis study investigated the incidence of postoperative complications following pancreatectomy in octogenarians.

methodsThis study included 291 patients who underwent pancreatic surgery (pancreatoduodenectomy [PD] or distal pancreatectomy [DP]) between 2019 and 2024 in a Japanese University Hospital. Perioperative outcomes were compared between octogenarians and non-octogenarians. The primary outcomes included the risk factors (including age) and incidence rates for postoperative complications. In addition, 1:3 propensity score matching (PSM) was conducted with standardized patient and perioperative factors, and the incidence of postoperative complications was compared. Finally, the clinical characteristics of octogenarians and non-octogenarians in open surgery and minimally invasive pancreatic surgery (MIPS) were compared.

resultsThe median age was 82.0 and 71.0 years for octogenarians (n = 33) and non-octogenarians (n = 258). We found that a high body mass index (BMI) value, PD, laparotomy, high intraoperative blood loss (IBL) (≥ 320mL), and long operative times were associated with the incidence of postoperative complications in univariate analysis, although patient age (octogenarians) was not significantly correlated. PSM showed that the incidence of postoperative complications was similar between octogenarians and non-octogenarians. MIPS led to similar or lower postoperative complication rates in octogenarians compared with non-octogenarians, and both rates were notably lower than those in laparotomy.

conclusionAlthough this study was retrospective, single-center, and with small number of octogenarians, the incidence of postoperative complications after pancreatectomy might not be higher in octogenarians than in non-octogenarians, and it could be reduced with MIPS.

Indexed as

Minimally Invasive Surgical ProceduresPancreatectomyPancreaticoduodenectomyPostoperative ComplicationsAgedAged, 80 and overAge FactorsFemaleHumansIncidenceJapanMalePropensity ScoreRetrospective StudiesRisk FactorsComplicationLaparotomyMinimally invasive surgeryOctogenariansPancreatectomy

Identifiers

PMID41044585
PMCPMC12495615

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.