Abstract
An analysis of postoperative complications and survival was conducted in 31 patients undergoing pancreatoduodenectomy (PD) for carcinoma of the pancreas or periampullary carcinoma. Of them, 11 were over 70 years of age and 20 were under 70. Anastomotic leakage was the most common complication after PD. Definite pancreatic leakage was found in one patient in the over 70 group, and one case each of pancreatic, biliary, and gastric leakage were found in the under 70 group. All complications were treated conservatively without any further operative intervention. The overall morbidity rate was 41.9% (13/31), being 45.5% (5/11) in the over 70 group and 40.0% (8/20) in the under 70 group, and no operative deaths occurred within 30 days after surgery. The cumulative survival rate of the patients aged over 70 years with carcinoma of the pancreas or periampullary carcinoma did not differ significantly from the rate of those under 70. It was thus concluded that PD achieves an adequate prognosis and survival in patients over 70 years of age.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Tamakuma S, Mochizuki H, Ono S (1988) Recent aspects of geriatric surgery (in Japanese). Geka Chiryo (Surg Therapy) 58:384–390
Cordis L, Cold EB (1984) Epidemiology of pancreatic cancer. World J Surg 8:808–821
Obertop H, Bruining HA, Schattenkerk MF, Eggink WF, Jeekel J, Van Houten H (1982) Operative approach to cancer of the head of the pancreas and the peri-ampullary region. Br J Surg 69:573–576
Hiramatsu Y, Yamamoto M, Kojima Y, Yamanaka E (1991) Intra-and postoperative fluid management for aged patients (in Japanese). Shokaki Geka (Gastroenterol Surg) 14:51–58
Japan Pancreas Society (1986) General rules for cancer of the pancreas, 3rd edn (in Japanese). Kanehara, Tokyo 9–19
Japan Society of Biliar Surgery (1986) General rules for surgical and pathological studies on cancer of biliary tract, 2rd edn (in Japanese). Kanehara, Tokyo 13–40
Kojima Y, Katayama K, Note M, Shimada H, Nakagawara G (to be published) Pancreaticojejunostomy and pancreatic leakage after pancreaticoduodenectomy. Int Surg
Dahn M, Kirkpatrick R, Bouwman D (1980) Sepsis, glucose intolerance, and protein malnutrition. Arch Surg 115:1415–1418
Inagaki J, Rodriguez V, Bodey GP (1974) Cause of death in cancer patients. Cancer 33:568–573
Warren KW, Choe DS, Plaza J, Relihan M (1975) Results of radical resection for periampullary cancer. Ann Surg 181:534–540
Kairaluoma MI, Kiviniemi H, Stahlberg M (1987) Pancreatic resection for carcinoma of the pancreas and the periampullary region in patients over 70 years of age. Br J Surg 74:116–118
Telford GL, Mason GR (1981) Improved technique for pancreaticogastrostomy after ancreaticoduodenectomy. Am J Surg 142:386–387
Icard P, Dubois F (1988) Pancreaticogastrostomy following pancreatoduodenectomy. Ann Surg 207:253–256
Cooperman AM, Herter FP, Marboe CA, Helmreich ZV, Perzin KH (1981) Pancreatoduodenal resection and total pancreatectomy — An institutional review. Surgery 90:707–712
Nakase A, Matsumoto Y, Uchida K, Honjo I (1977) Surgical treatment of cancer of the pancreas and the periampullary region: Cumulative results in 57 institutions in Japan. Ann Surg 185:52–57
Shutze WP, Sack J, Aldrete JS (1990) Long-term follow-up of 24 patients undergoing radical resection for ampullary carcinoma, 1953 to 1988. Cancer 66:1717–1720
Kairaluoma MI, Stahlberg M, Kiviniemi H, Haukipuro K (1989) Results of pancreatoduodenectomy for carcinoma of the head of the pancreas. Hepatogastoroenterology 36:412–418
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kojima, Y., Yasukawa, H., Katayama, K. et al. Postoperative complications and survival after pancreatoduodenectomy in patients aged over 70 years. Surg Today 22, 401–404 (1992). https://doi.org/10.1007/BF00308787
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00308787