Laparoscopic vs. open pancreaticoduodenectomy: a comparative study in elderly people

Updates in Surgery
Yuwei TanXue-Min Chen

Abstract

The purpose of the study is to evaluate whether laparoscopic pancreatoduodenectomy (LPD) is safe and feasible for elderly patients. From December 2015 to January 2019, 142 LPD surgeries and 93 OPD surgeries were performed by the same surgeon in the third affiliated hospital of Soochow University. After applying the inclusion and exclusion criteria, we retrospectively collected the date of three defined groups: LPD aged < 70 years (group I, 84 patients), LPD aged ≥ 70 years (group II, 56 patients) and OPD aged ≥ 70 years (group III, 28 patients). Baseline characteristics and short-term surgical outcomes of group I and group II, group II and group III were compared. Totally, 168 patients were included in this study; 100 cases were men; 68 cases were women; mean age was 67.9 ± 9.5 years. LPD does not perform as well in elderly as it does in non-elderly patients in terms of intraoperative blood loss (300.0 (200.0-500.0) ml vs. 200.0 (100.0-300.0) ml, p = 0.003), proportion of intraoperative transfusion (17.9% vs. 6.0%, p = 0.026) and time to oral intake (5.0 (4.0-7.0) day vs. 5.0 (3.0-6.0) day, p = 0.036). Operative time, conversion rate, postoperative stay, and proportion of reoperation, Clavien-Dindo classification, 30-day readmi...Continue Reading

References

Feb 20, 2009·Anesthesiology·Jacob SteinmetzUNKNOWN ISPOCD Group
Jul 29, 2010·JAMA : the Journal of the American Medical Association·Joost WitloxWillem A van Gool
Sep 13, 2011·World Journal of Surgical Oncology·Yasuhiro ItoYuko Kitagawa
Sep 8, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Prashant SukharamwalaPeter DeVito
May 9, 2015·World Journal of Gastroenterology : WJG·Chun-Lu TanKe-Zhou Li
Aug 22, 2015·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·May C TeeMichael L Kendrick
Jan 4, 2017·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Surgery (ISGPS)
Jun 2, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Michael H GerberSteven J Hughes
Sep 13, 2017·The British Journal of Surgery·C PalaniveluS Rajapandian
Oct 20, 2018·British Journal of Anaesthesia·L EveredUNKNOWN Nomenclature Consensus Working Group
Apr 3, 2019·Protein & Cell·Xiaojuan HeUNKNOWN Major Program Expert Group
Jul 18, 2019·Surgical Endoscopy·Yun LiangWei Wang

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