Laparoscopic pancreatoduodenectomy does not completely mitigate increased perioperative risks in elderly patients
| Autor: | Michael L. Kendrick, Mark J. Truty, Christopher R. Shubert, May C. Tee, Kristopher P. Croome, KMarie Reid-Lombardo, Rory L. Smoot, David M. Nagorney, Florencia G. Que, Michael B. Farnell |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Minnesota medicine.medical_treatment Risk Assessment Pancreaticoduodenectomy Postoperative Complications Risk Factors medicine Humans Laparoscopy Survival rate Aged Retrospective Studies medicine.diagnostic_test Hepatology business.industry General surgery Age Factors Gastroenterology Retrospective cohort study Original Articles Perioperative Length of Stay Middle Aged humanities Surgery Surgical morbidity Survival Rate Treatment Outcome Increased risk Female Morbidity Risk assessment business Follow-Up Studies |
| Zdroj: | HPB. 17(10):909-918 |
| ISSN: | 1365-182X |
| DOI: | 10.1111/hpb.12456 |
| Popis: | BackgroundElderly patients undergoing open pancreatoduodenectomy (OPD) are at increased risk for surgical morbidity and mortality. Whether totally laparoscopic pancreatoduodenectomy (TLPD) mitigates these risks has not been evaluated.MethodsA retrospective review of outcomes in patients submitted to pancreatoduodenectomy during 2007–2014 was conducted (n = 860). Outcomes in elderly patients (aged ≥70 years) were compared with those in non elderly patients with respect to risk adjusted postoperative morbidity and mortality. Differences in outcomes between patients submitted to OPD and TLPD, respectively, were evaluated in the elderly subgroup.ResultsIn elderly patients, the incidences of cardiac events (odds ratio [OR] 3.21, P |
| Databáze: | OpenAIRE |
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