[Surgical therapy of pancreatic carcinoma in elderly patients over 70].
Between October 1972 and December 1994, 519 pancreatic resections were performed at the Chirurgische Universitätsklinik Mannheim, 372 for pancreatic carcinoma. Of 328 patients who underwent a partial duodenopancreatectomy for cancer, 45 patients were older than 70 years: only in one case a partial duodenopancreatectomy was performed for chronic pancreatitis. In comparison to all patients the perioperative morbidity increased to 39.1% (21.5% vs. 39.1%). The perioperative mortality of all patients was 1.9%, the mortality of patients older than 70 years was 4.3%. The mean survival time of 28 patients who died subsequently was 30.6 (5-96) months. Despite increased perioperative morbidity and mortality, the patient's age is not considered to be a limiting factor to an attempt at curative resection of pancreatic or periampullary cancer.
Richter
A
A
Chirurgische Klinik, Klinikum Mannheim, Klinische Fakultät, Universität Heidelberg.
Schwab
M
M
Lorenz
D
D
Rumstadt
B
B
Trede
M
M
D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D005260:Female; D015577:Geriatric Assessment; D005858:Germany; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000401:mortality*; D011183:Postoperative Complications / Q000401:mortality*; D012307:Risk Factors; D015996:Survival Rate
Operative Therapie des Pankreas Karzinoms beim älteren Patienten über 70 Jahre.