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Pancreatic Resection in Patients 80 Years or Older
- Source :
- Pancreas. 43:1208-1218
- Publication Year :
- 2014
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2014.
-
Abstract
- The aim of this study was to evaluate the safety of pancreatic resections in patients 80 years or older.A systematic search of the literature was carried out that compared perioperative outcomes after pancreatic resection in patients 80 years or older with patients younger than 80 years. The primary end points were postoperative mortality and morbidity. The secondary end points were incidence of postoperative pancreatic fistula, delayed gastric emptying, bile leak, pneumonia, postoperative infection, cardiologic complications, reoperation, and length of hospital stay.Nine studies were found to be suitable for the meta-analysis. The postoperative mortality and morbidity were significantly higher in the group 80 years or older (P0.00001 and P = 0.003, respectively) except for patients in whom there were no differences in preoperative comorbidities (P = 0.56 and P = 0.36, respectively). Postoperative cardiac complications were significantly more frequent in patients 80 years or older (P0.0001), and the length of hospital stay was significantly longer in octogenarian patients (P = 0.008).Patients 80 years or older have an increased incidence of postoperative mortality, morbidity, and cardiac complications and a longer length of hospital stay than do younger patients. Thus, pancreatic resection can be recommended only in a selected group of patients 80 years or older.
- Subjects :
- Male
Reoperation
medicine.medical_specialty
Heart Diseases
Endocrinology, Diabetes and Metabolism
Common Bile Duct Neoplasms
MEDLINE
Comorbidity
Pancreaticoduodenectomy
Pancreatectomy
Postoperative Complications
Endocrinology
Internal medicine
Internal Medicine
Humans
Medicine
In patient
Age of Onset
Pancreatic resection
Aged, 80 and over
Hepatology
business.industry
Incidence
Incidence (epidemiology)
Age Factors
Perioperative
Length of Stay
medicine.disease
Pancreatic Neoplasms
Treatment Outcome
Meta-analysis
Female
Age of onset
business
Subjects
Details
- ISSN :
- 08853177
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- Pancreas
- Accession number :
- edsair.doi.dedup.....ba8146c024b3e14d6254b00e389091ae
- Full Text :
- https://doi.org/10.1097/mpa.0000000000000182