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学科主题: 临床医学
题名:
Outcome after Pancreaticoduodenectomy for Malignancy in Elderly Patients
作者: Zhang, Dafang; Gao, Jie; Li, Shu; Wang, Fushun; Zhu, Jiye; Leng, Xisheng
刊名: HEPATO-GASTROENTEROLOGY
发表日期: 2015-03-01
DOI: 10.5754/hge14608
卷: 62, 期:138, 页:451-454
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology ; Surgery
研究领域[WOS]: Gastroenterology & Hepatology ; Surgery
关键词[WOS]: INTERNATIONAL STUDY-GROUP ; PANCREATIC SURGERY ISGPS ; CONSECUTIVE PANCREATICODUODENECTOMIES ; DECREASING LENGTH ; CANCER ; RESECTION ; DEFINITION ; EXPERIENCE ; MORTALITY ; ADENOCARCINOMA
英文摘要:

Background/Aims: To evaluate short-term outcomes and long-term survival after pancreaticoduodenectomy for malignancy in elderly Chinese patients (aged 70 years or older) compared with younger patients. Methodology: Between January 2005 and December 2013, 216 consecutive patients who underwent a PD with pancreatic cancer or periampullary cancers in our institution were recruited in this study. Sixty-eight patients aged 70 years or older when they underwent PD, while 148 patients younger than 70. Results: There were no significant differences in postoperative mortality (p=0.104), overall morbidity (p=0.057) and surgical complications (p=0.200) between the elderly patients and the younger patients. Elderly patients had a significantly higher incidence of cardiac events (p=0.008) and pneumonia (p=0.041) postoperatively. The postoperative hospital stay in the older age group was significantly longer (p=0.013). The overall survival did not differ between the two age groups both when patients with pancreatic cancer were analyzed (p=0.836) and when patients with periampullary cancers were analyzed (p=0.817). Conclusions: Our results showed that pancreaticoduodenectomy for malignancy in Chinese patients over 70 years old could be performed safely. Age should not be considered as a contraindication to pancreaticoduodenectomy.

语种: 英语
WOS记录号: WOS:000352115800040
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50646
Appears in Collections:北京大学第二临床医学院_肝胆外科_期刊论文

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作者单位: Peking Univ, Peoples Hosp, Dept Hepatobiliary Surg, Beijing 100044, Peoples R China

Recommended Citation:
Zhang, Dafang,Gao, Jie,Li, Shu,et al. Outcome after Pancreaticoduodenectomy for Malignancy in Elderly Patients[J]. HEPATO-GASTROENTEROLOGY,2015,62(138):451-454.
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