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
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.
World Journal of Surgery
https://doi.org/10.1007/s002689910056
Pancreatectomy
Bathe, O. F., Levi, D., Caldera, H., Franceschi, D., Raez, L., Patel, A., ... Levi, J. (2000). Radical resection of periampullary tumors in the elderly: Evaluation of long-term results. World Journal of Surgery, 24(3), 353-358. https://doi.org/10.1007/s002689910056
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.
Bathe, OF, Levi, D, Caldera, H, Franceschi, D, Raez, L, Patel, A, Raub, WA, Benedetto, PW, Reddy, R, Hutson, D, Sleeman, D, Livingstone, A & Levi, J 2000, 'Radical resection of periampullary tumors in the elderly: Evaluation of long-term results', World Journal of Surgery, vol. 24, no. 3, pp. 353-358. https://doi.org/10.1007/s002689910056
Bathe OF, Levi D, Caldera H, Franceschi D, Raez L, Patel A et al. Radical resection of periampullary tumors in the elderly: Evaluation of long-term results. World Journal of Surgery. 2000 Mar 1;24(3):353-358. https://doi.org/10.1007/s002689910056
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.
@article{ad659fdd6000454c9ce8b508dd4a8f32,
title = "Radical resection of periampullary tumors in the elderly: Evaluation of long-term results",
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.",
author = "Bathe, {Oliver F.} and David Levi and Humberto Caldera and Dido Franceschi and Luis Raez and Ajay Patel and Raub, {William A.} and Benedetto, {Pasquale W} and Rajender Reddy and Duane Hutson and Danny Sleeman and Alan Livingstone and Joe Levi",
doi = "10.1007/s002689910056",
journal = "World Journal of Surgery",
T1 - Radical resection of periampullary tumors in the elderly
T2 - Evaluation of long-term results
AU - Bathe, Oliver F.
AU - Levi, David
AU - Caldera, Humberto
AU - Franceschi, Dido
AU - Raez, Luis
AU - Patel, Ajay
AU - Raub, William A.
AU - Benedetto, Pasquale W
AU - Reddy, Rajender
AU - Hutson, Duane
AU - Sleeman, Danny
AU - Livingstone, Alan
AU - Levi, Joe
N2 - 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.
AB - 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.
U2 - 10.1007/s002689910056
DO - 10.1007/s002689910056
JO - World Journal of Surgery
JF - World Journal of Surgery
10.1007/s002689910056