Pancreatic resection in elderly patients: should it be denied?

Background Surgery remains the only potential curative therapy for pancreatic cancer, but compromised physiological reserve and comorbidities may deny pancreatic resection from elderly patients. Methods The medical records of all patients who underwent pancreatic resection at our institution (2005–2...

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Veröffentlicht in:	Langenbeck's archives of surgery 2014-04, Vol.399 (4), p.449-459
Hauptverfasser:	Adham, M., Bredt, L. C., Robert, M., Perinel, J., Lombard-Bohas, C., Ponchon, T., Valette, P. J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal Surgery Adult Aged Aged, 80 and over Blood Loss, Surgical - statistics & numerical data Carcinoma, Pancreatic Ductal - mortality Carcinoma, Pancreatic Ductal - surgery Cardiac Surgery Comorbidity Contraindications Female General Surgery Hospital Mortality Humans Length of Stay - statistics & numerical data Male Medicine Medicine & Public Health Middle Aged Original Article Pancreatectomy - mortality Pancreatic Neoplasms - mortality Pancreatic Neoplasms - surgery Pancreaticoduodenectomy - mortality Postoperative Complications - epidemiology Retrospective Studies Survival Rate Thoracic Surgery Traumatic Surgery Treatment Outcome Vascular Surgery
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Zusammenfassung:	Background Surgery remains the only potential curative therapy for pancreatic cancer, but compromised physiological reserve and comorbidities may deny pancreatic resection from elderly patients. Methods The medical records of all patients who underwent pancreatic resection at our institution (2005–2012) were retrospectively reviewed. Postoperative and long-term outcomes were compared between patients with cutoff age of 70 years. Results A total of 228 (66 %) and 116 (34 %) patients were
ISSN:	1435-2443 1435-2451
DOI:	10.1007/s00423-014-1183-9