Radical resection of periampullary tumors in the elderly: Evaluation of long-term results Article

Bathe, OF, Levi, D, Caldera, H et al. (2000). Radical resection of periampullary tumors in the elderly: Evaluation of long-term results . 24(3), 353-358. 10.1007/s002689910056

cited authors

  • Bathe, OF; Levi, D; Caldera, H; Franceschi, D; Raez, L; Patel, A; Raub, WA; Benedetto, P; Reddy, R; Hutson, D; Sleeman, D; Livingstone, AS; Levi, JU

authors

abstract

  • Increasingly, patients of advanced age are coming for evaluation of periampullary tumors. Although several studies have demonstrated the safety of resecting periampullary tumors in older patients, few long-term survival data have been reported. Between 1983 and 1992 various periampullary masses were resected in 70 patients over age 65 (range 65-87 years). Total pancreatectomy was performed in 11 patients, and 59 patients underwent pancreaticoduodenectomy. The mean duration of hospitalization was 17 ± 15 days. Major complications occurred in 27 patients (39%), and operative mortality rate was 8.5%. Overall median survival was 24 months; and 5-year survival was 25%. Perioperative outcome was compared in patients aged 65 to 74 years and in patients ≥75 years old. The older age group required longer periods in the surgical intensive care unit postoperatively, but the long- term survival was similar in the two age groups. Radical resection with the intent to cure periampullary tumors is safe in selected patients of advanced age, and long-term survival is in the range of expected survival for younger patients with the same tumors.

publication date

  • March 1, 2000

Digital Object Identifier (DOI)

start page

  • 353

end page

  • 358

volume

  • 24

issue

  • 3