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Pancreatic Resection in Patients 80 Years or Older

Authors :
Claudio Ricci
Giovanni Taffurelli
Marianna Mastroroberto
Francesco Minni
Marielda D'Ambra
Enrico Lazzarini
Antonio Maria Morselli-Labate
Riccardo Casadei
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.

Details

ISSN :
08853177
Volume :
43
Database :
OpenAIRE
Journal :
Pancreas
Accession number :
edsair.doi.dedup.....ba8146c024b3e14d6254b00e389091ae
Full Text :
https://doi.org/10.1097/mpa.0000000000000182