Pancreatic resections: 30 and 90-day outcomes in octogenarians.

Surgical Oncology
Shoshana T LeviJoseph J Bennett

Abstract

Pancreatic tumors are frequently found in a geriatric population. Given that the median age of patients with pancreatic cancer is 70 years at diagnosis and the ubiquity of CT and MRI imaging has increased the detection of pancreas masses, pancreatic surgeons often find themselves operating on patients of advanced age. This study sought to evaluate the outcomes of pancreatic resection in an octogenarian population at a single institution with a dedicated surgical oncology team. A retrospective chart review was performed for all patients undergoing pancreatic resection over a 13-year period at an academic community cancer center. Patient characteristics and operative outcomes were compared between patients aged 80 and older, and those younger than 80. Student t-tests, Fisher's exact test, and Kruskal-Wallis tests were used for univariate analyses. Over the 13-year period, a total of 48 patients of 403 undergoing pancreatic resections were aged 80 or older. Of these 48 patients, 35 underwent pancreaticoduodenectomy (Whipple) and 13 underwent distal pancreatectomy. Patient characteristics including ASA classification were similar among the two age groups. The procedures themselves were equally complicated with similar operative tim...Continue Reading

References

Aug 1, 1996·British Journal of Anaesthesia·U WoltersT Schröder
May 11, 1999·Annals of Surgery·K D LillemoeC J Yeo
Aug 2, 2003·Annals of Surgery·David A EtzioniClifford Y Ko
Jul 14, 2004·Archives of Surgery·C Max SchmidtJames A Madura
Jul 9, 2005·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Fistula Definition
Mar 1, 2006·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Martin A MakaryCharles J Yeo
Nov 23, 2006·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jordan M WinterCharles J Yeo
Apr 7, 2007·Annals of Surgery·Jörg KleeffMarkus W Büchler
Nov 24, 2007·Journal of the American College of Surgeons·Emily FinlaysonJohn D Birkmeyer
Jul 14, 2009·The Journal of Surgical Research·Jeffrey M HardacreJames A Schulak
Jun 1, 2010·Journal of the American College of Surgeons·Martin A MakaryLinda P Fried
Aug 28, 2010·Surgery·Kathryn M ZieglerKeith D Lillemoe
Jan 14, 2011·Journal of the American College of Surgeons·Ioannis HatzarasMark Bloomston
Jun 15, 2012·The Journal of Trauma and Acute Care Surgery·Joseph S FarhatIlan S Rubinfeld
Mar 1, 2015·Journal of the American College of Surgeons·John L Cameron, Jin He
Oct 25, 2016·American Journal of Surgery·Jennifer StraatmanDonald L van der Peet
Sep 16, 2018·Surgical Oncology·Benjamin L GoughJoseph J Bennett
Nov 6, 2018·American Journal of Surgery·Arvind SabesanJoseph J Bennett

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.