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Safety and feasibility of laparoscopic pancreaticoduodenectomy in octogenarians
- Source :
- Asian Journal of Surgery, Vol 45, Iss 3, Pp 837-843 (2022)
- Publication Year :
- 2022
- Publisher :
- Elsevier, 2022.
-
Abstract
- Introduction: With continued technical advances in surgical instruments and growing surgical expertise, many laparoscopic pancreaticoduodenectomies (LPDs) have been safely performed with favorable outcomes, and this approach is being used more frequently. With an increase in the life expectancy, interest in treatments for elderly patients has increased. In this study, we investigated the safety and feasibility of LPD in octogenarians. Methods: From September 2005 to February 2020, resectable/borderline resectable periampullary tumors (PATs) were diagnosed in 71 octogenarians at Sincheon Severance Hospital and CHA Bundang Medical Center. Patients were divided into two groups: those who underwent surgery (PD, N = 38) and those who did not (NPD, N = 33). The group that underwent surgery was further divided into two groups: those who underwent open PD (OPD, N = 19), and those who underwent LPD (LPD, N = 19). Perioperative outcomes, including long-term survival, were retrospectively compared between these groups. Results: There was no significant difference in age, sex, comorbidities, diagnosis, and chemo-radiotherapy between the surgery and non-surgery groups. The PD group had a better survival rate than the NPD group (p 0.999). There was no significant difference in overall survival and disease-free survival between the OPD and LPD groups (p = 0.816, p = 0.446, respectively). Conclusions: LPD is a good alternative for octogenarians with PAT requiring PD.
- Subjects :
- medicine.medical_specialty
Octogenarians
RD1-811
medicine.medical_treatment
Pancreaticoduodenectomy
Postoperative Complications
Borderline resectable
hemic and lymphatic diseases
Octogenarian
Overall survival
Medicine
Humans
Laparoscopy
Survival rate
Periampullary tumor
Aged
Retrospective Studies
Aged, 80 and over
medicine.diagnostic_test
business.industry
Significant difference
Perioperative
Length of Stay
Surgery
Pancreatic Neoplasms
Feasibility Studies
business
Laparoscopic pancreaticoduodenectomy
Subjects
Details
- Language :
- English
- ISSN :
- 10159584
- Volume :
- 45
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Asian Journal of Surgery
- Accession number :
- edsair.doi.dedup.....ea388c728f550755bee7afbaf47f1af1