Surgery Today

, Volume 43, Issue 6, pp 620–624

Pancreaticoduodenectomy can be safely performed in the elderly

  • Shuji Suzuki
  • Satoshi Kaji
  • Nobusada Koike
  • Nobuhiko Harada
  • Mamoru Suzuki
Original Article

DOI: 10.1007/s00595-012-0383-6

Cite this article as:
Suzuki, S., Kaji, S., Koike, N. et al. Surg Today (2013) 43: 620. doi:10.1007/s00595-012-0383-6

Abstract

Background

Although 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.

Methods

We 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.

Results

There 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.

Conclusions

Pancreaticoduodenectomy can be safely performed in elderly as well as younger patients.

Keywords

Nonstented Pancreaticojejunostomy The elderly Pancreaticoduodenectomy 

Copyright information

© Springer Japan 2012

Authors and Affiliations

  • Shuji Suzuki
    • 1
  • Satoshi Kaji
    • 1
  • Nobusada Koike
    • 1
  • Nobuhiko Harada
    • 1
  • Mamoru Suzuki
    • 1
  1. 1.Department of SurgeryHachioji Digestive Disease HospitalHachiojiJapan

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