外科理论与实践2012，Vol.17Issue(3)：230-232,3.DOI:10.3969/j.issn.1007-1096.2012.03.008
80岁以上胰十二指肠切除术16例分析
Patients older than eighty undergoing pancreaticoduodenectomy: 16 cases report
刘嘉哲 1黄新余 1王洪成 1郑起1
作者信息
- 1. 上海交通大学附属第六人民医院普外科,上海 200233
- 折叠
摘要
Abstract
Objective To analyze the feasiblity and outcome of pancreaticoduodenectomy in patients older than eighty. Methods We retrospectively reviewed the data of 16 patients older than eighty who underwent pancreaticoduodenectomy and compared with 145 patients younger than eighty undergoing pancreaticoduodenectomy. Results In the patients older than eighty, seven patients had postoperative complications (43.8%), including abdominal infection in 2 cases, delayed gastric emptying in 2 cases (12.5%), pulmonary infection in 4 cases (25.0%), cardiac insufficiency, wound infection, abdominal hemorrhage and urinary infection in 1 cases for each (6.3%). There were 4 cases (25.0%) with pancreatic fistula. One case belonged to grade A, two cases grade B, and one case grade C. One patient (6.3%) died from MODS caused by pancreatic fistula complicated abdominal infection, abdominal hemorrhage and pulmonary infection. Mortality and mobidity did not differ between the two groups. Conclusions Pancreaticoduodenectomy is feasible and safe for patients older than eighty. Age alone should not be a contraindication to pancreatic resection. If professional surgical team, reasonable preoperative evaluation and proper perioperative management could be provided to elder patients, pancreaticoduodenectomy will lead to lower morbidity and mortality.关键词
80岁以上/胰十二指肠切除术/结果Key words
Older than 80 years/Pancreaticoduodenectomy/Outcome分类
医药卫生引用本文复制引用
刘嘉哲,黄新余,王洪成,郑起..80岁以上胰十二指肠切除术16例分析[J].外科理论与实践,2012,17(3):230-232,3.
