Korean J Pancreas Biliary Tract.  2021 Apr;26(2):105-110. 10.15279/kpba.2021.26.2.105.

A Review on Clinical Outcomes of Pancreaticoduodenectomy in Octogenarian Patients

• Coco D
• Leanza S

• KMID: 2515671
• DOI: http://doi.org/10.15279/kpba.2021.26.2.105

Abstract

Management of malignant diseases in elderly patients has been a global clinical issue because of increased life expectancy worldwide. Currently, pancreatic adenocarcinoma mainly occurs after 60 years of age, and its prognosis remains poor despite modest improvements in recent decades. Surgical resection is the only potentially curative treatment for pancreatic cancer. Resection of the pancreas, either by pancreaticoduodenectomy (PD) or laparoscopic pancreaticoduodenectomy (LPD) is a complex surgical procedure with a high rate of morbidity and mortality. However, mortality rates after pancreatic surgery have dropped to less than 2-5% at experienced centers. Whereas, complication rates are high, reaching at least 30% in many centers. Mortality also increases proportionally with age viz. 6.7% of patients aged 65-69 years, 9.3% of patients aged 70-79 years, and 15.5% of patients aged 80 years or older. The present review article delineates clinical outcomes along with safety, morbidity and mortality after PD or LPD in elderly, especially in octogenarian patients.

Keyword

Aged; 80 and over; Pancreaticoduodenectomy; Outcomes assessment; Morbidity; Mortality