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

Oliver F. Bathe, David Levi, Humberto Caldera, Dido Franceschi, Luis Raez, Ajay Patel, William A. Raub, Pasquale W Benedetto, Rajender Reddy, Duane Hutson, Danny Sleeman, Alan Livingstone, Joe Levi

Research output: Contribution to journalArticle

61 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)353-358
Number of pages6
JournalWorld Journal of Surgery
Volume24
Issue number3
DOIs
StatePublished - Mar 1 2000

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Neoplasms
Survival
Age Groups
Pancreatectomy
Pancreaticoduodenectomy
Critical Care
Intensive Care Units
Hospitalization
Safety
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Radical resection of periampullary tumors in the elderly : Evaluation of long-term results. / Bathe, Oliver F.; Levi, David; Caldera, Humberto; Franceschi, Dido; Raez, Luis; Patel, Ajay; Raub, William A.; Benedetto, Pasquale W; Reddy, Rajender; Hutson, Duane; Sleeman, Danny; Livingstone, Alan; Levi, Joe.

In: World Journal of Surgery, Vol. 24, No. 3, 01.03.2000, p. 353-358.

Research output: Contribution to journalArticle

Bathe, Oliver F. ; Levi, David ; Caldera, Humberto ; Franceschi, Dido ; Raez, Luis ; Patel, Ajay ; Raub, William A. ; Benedetto, Pasquale W ; Reddy, Rajender ; Hutson, Duane ; Sleeman, Danny ; Livingstone, Alan ; Levi, Joe. / Radical resection of periampullary tumors in the elderly : Evaluation of long-term results. In: World Journal of Surgery. 2000 ; Vol. 24, No. 3. pp. 353-358.
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