The impact of old age on surgical outcomes after pancreaticoduodenectomy for XXXX .

@entity1 @entity66 @entity5 @entity648 @entity1126 @entity260 @entity954
BACKGROUNDS/AIMS: To compare surgical results and survival of two groups of @entity1 , age >= 70 vs. age <70, who underwent pancreaticoduodenectomy and to identify the safety of this procedure for elderly @entity1 for the treatment of distal common bile duct (CBD) @entity5 . METHODS: Between January 2003 and December 2009, 55 @entity1 who underwent pancreaticoduodenectomy for the treatment of @entity1126 at Keimyung University Dong San Medical Center were enrolled in our study. RESULTS: Of 55 @entity1 , 28 were male and 27 female. Nineteen were over 70 years old (older group) and 36 were below 70 years (younger group). The mean ages of the two groups of @entity1 were 73.5 years and 60.5 years respectively. Although @entity1 of the older group had significantly more @entity66 , perioperative results including operation time, amount of @entity954 , duration of @entity260 were not significantly different. A higher level (more than 5 mg/dl) of preoperative initial @entity648 showed significant correlations with operative morbidity by univariate analysis, and age was not an independent risk factor of operative morbidity. Overall 5 year survival of older and younger groups were 45.9% and 39.5% respectively (p=0.671) and disease-free 5-year survival were 31.7% and 31.1%, respectively (p=0.942). CONCLUSIONS: Surgical outcomes of elderly @entity1 were similar to those of younger @entity1 , despite a higher incidence of comorbid disease. This results shows that pancreaticoduodenectomy can be applied safely to elderly @entity1 .
