Pancreaticoduodenectomy in the elderly over 80 years:a case report
An increasing number of elderly patients have been considered for major surgical procedures, such as pancreaticoduodenectomy. The decision to recommend this operation for localized pancreatic cancer or other periampullary process in a very elderly patient is complicated by the frailty of the patient...
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Published in | Hepatobiliary & pancreatic diseases international Vol. 6; no. 1; pp. 104 - 107 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Singapore
01.02.2007
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Subjects | |
Online Access | Get full text |
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Summary: | An increasing number of elderly patients have been considered for major surgical procedures, such as pancreaticoduodenectomy. The decision to recommend this operation for localized pancreatic cancer or other periampullary process in a very elderly patient is complicated by the frailty of the patient and the poor prognosis of the disease. Moreover, increased surgical experience associated with better patient selection may reduce the mortality rate, even in very elderly patients (over 80 years of age), after pancreaticoduodenectomy.
An 84-year-old woman underwent pancreaticoduodenectomy for ampullary adenocarcinoma. The tumor was classified pT3N0M0.
A good postoperative outcome was obtained. The patient is still alive, 18 months after operation.
Radical resection of periampullary tumors is safe in selected patients of advanced age, with morbidity and mortality rates approaching those observed in younger patients. Age alone should not be a contraindication for pancreatic resection. |
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Bibliography: | 33-1391/R Hassen Hentati, Nafaa Arfa, Noomen Haouas, Sana Landolsi, Walid Gharbi, Nizar Miloudi, Saber Manna, Brahim Ghariani, Lassaad Gharbi, Hafedh Mestiri and Mohamed Taher Khalfallah Department of General Surgery, "Mongi Slim" Hospital, Sidi Daoued, 2046, La Marsa, Tunis, Tunisia ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
ISSN: | 1499-3872 |