Risk factors for pancreaticoduodenectomy in elderly patients
10.3760/cma.j.issn.1007-631X.2018.10.011
- VernacularTitle:老年患者胰十二指肠切除术后并发症及危险因素分析
- Author:
Wenyong XIE
1
;
Yijun LIU
;
Dafang ZHANG
;
Zhedong ZHANG
;
Shengmin ZHENG
;
Weihua ZHU
;
Shu LI
;
Jiye ZHU
;
Xisheng LENG
Author Information
1. 100044,北京大学人民医院肝胆外科
- Keywords:
Aged;
Pancreaticoduodenectomy;
Postoperative complications;
Risk factors
- From:
Chinese Journal of General Surgery
2018;33(10):842-844
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the complication and risk factors in elderly patients undergoing pancreaticoduodenectomy (PD).Methods From Jan 2005 to Dec 2016,358 consecutive patients undergoing PD were divided into ≥ 70 years group (98 cases) and ＜ 70 years group (260patients).Perioperative complications were compared and risk factors explored between the two groups.Results There were differences in coronary heart disease between the two groups in the preoperative medical comorbidities (P =0.008),and that of albumin,alanine aminotransferase,alkaline phosphatase and creatinine (all P ＜ 0.05).Perioperative mortality was higher in the elderly group than in the younger group (P =0.038),probably related to higher systemic complications (P =0.001).The independent risk factors influencing the postoperative medical complications were preoperative total bilirubin ≥ 171 μmol/L and intraoperative blood loss ≥ 1 000 ml.Conclusions Patients over 70 years old have a comparatively higher perioperative mortality rate after pancreaticoduodenectomy,which were probably derived from a higher postoperative vital organ dysfunction.
