Safety and feasibility of laparoscopic pancreaticoduodenectomy in octogenarians
Autor: | Sung Hyun Kim, Ji-Su Kim, Sung Hoon Choi, Munseok Choi, Chang Moo Kang |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
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 |
Zdroj: | Asian Journal of Surgery, Vol 45, Iss 3, Pp 837-843 (2022) |
ISSN: | 1015-9584 |
Popis: | 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. |
Databáze: | OpenAIRE |
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