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G.A. Shatverian

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. B.V. Petrovskogo RAMN

N.K. Chardarov

Otdelenie khirurgii pecheni, zhelchnykh puteĭ i podzheludochnoĭ zhelezy Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

V.V. Nikoda

B.V. Petrovsky National Research Centre of Surgery, Moscow

N.N. Bagmet

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

I.M. Tadzhibova

Petrovsky National Research Centre of Surgery, Moscow, Russia

E.A. Lishova

Petrovsky Russian Research Centre of Surgery, Moscow, Russia

N.P. Ratnikova

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN

G.A. Karagyozyan

Department of liver, biliary and pancreatic surgery, Petrovsky Russian Research Center for Surgery, Moscow, Russia

Short-term results of pancreatoduodenectomy in patients over 70 years old

Authors:

G.A. Shatverian, N.K. Chardarov, V.V. Nikoda, N.N. Bagmet, I.M. Tadzhibova, E.A. Lishova, N.P. Ratnikova, G.A. Karagyozyan

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(1): 25‑32

DOI: 10.17116/hirurgia202001125

Views: 6098

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Table of contents

SHORT-TERM RESULTS OF PANCREATODUODENECTOMY IN PATIENTS OVER 70 YEARS OLD
SHORT-TERM RESULTS OF PANCREATODUODENECTOMY IN PATIENTS OVER 70 YEARS OLD

To cite this article:

Shatverian GA, Chardarov NK, Nikoda VV, Bagmet NN, Tadzhibova IM, Lishova EA, Ratnikova NP, Karagyozyan GA. Short-term results of pancreatoduodenectomy in patients over 70 years old. Pirogov Russian Journal of Surgery. 2020;(1):25‑32. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202001125

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Objective — to analyze the immediate results of PDE in patients younger and older 70 years. Material and methods. The study included patients who underwent PDE for various indications from March 2010 to February 2019. All patients are divided into 2 groups: <70 years old and ≥70 years old. Primary endpoints were postoperative mortality and complication rate. Results. There were 110 procedures within 9 years. There were 93 patients aged <70 years (group 1) and 17 patients aged ≥70 years (group 2). ASA (American Society of Anesthesiologists) and PMP scores (Preoperative Mortality Predictor) were higher in group 2: 3 (2—3) vs 2 (1—3) (p=0,002) and 12 (6—15) vs 6.5 (5—15) (p<0.001), respectively. Mortality rate was higher in group 2 (11.7% vs. 3.2%) without statistical significance (p=0.16). Overall morbidity (72% vs 76%; p=1.0), incidence of major complications grade ≥IIIa (29% vs 29%), delayed gastric emptying B/C (17.2% vs 17.6%), pancreatic fistula grade B/C (23.6% vs 35.3%, p=0.3), biliary fistula grade B/C (7.5% vs 11.8%; p=0.62), postoperative hospital-stay [22 (8—165) days vs 23 (9—71) days; p=0.92] were comparable in both groups. Conclusion. Short-term results of PDE in patients aged <70 and ≥70 years are comparable despite higher ASA and PMP scores in the group 2. General status and concomitant diseases should be considered during selection of patients with resectable tumors for PDE. Age per se is not a contraindication for surgery.

Keywords:

pancreatoduodenectomy
mortality
complications
advanced age

Authors:

G.A. Shatverian

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. B.V. Petrovskogo RAMN

N.K. Chardarov

Otdelenie khirurgii pecheni, zhelchnykh puteĭ i podzheludochnoĭ zhelezy Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

V.V. Nikoda

B.V. Petrovsky National Research Centre of Surgery, Moscow

N.N. Bagmet

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

I.M. Tadzhibova

Petrovsky National Research Centre of Surgery, Moscow, Russia

E.A. Lishova

Petrovsky Russian Research Centre of Surgery, Moscow, Russia

N.P. Ratnikova

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN

G.A. Karagyozyan

Department of liver, biliary and pancreatic surgery, Petrovsky Russian Research Center for Surgery, Moscow, Russia

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