title: [Duodenopancreatectomy in the elderly. Evaluation of results].
abstract: BACKGROUND
  With the increase in life expectancy, more and more resectable periampullary tumours are being diagnosed in the geriatric population. Despite the decrease in post-operative mortality, there continues to be a debate on the risk-benefit of cephalic duodenopancreatectomy (CPD) in the elderly.
  
  
  OBJECTIVE
  To analyse the morbidity and mortality of CPD in patients over 70 years-old.
  
  
  METHODS
  Prospective observational study.
  
  
  METHODS
  A total of 54 duodenopancreatectomies were performed between January 2005 and December 2010. Two groups of patients were compared: Group 1 (patients>70 years-old, n: 24), and Group 2 (patients<70 years-old, n: 30). The morbidity and mortality, transfusion, reinterventions, mean hospital stay, and survival were analysed.
  
  
  RESULTS
  The>70 years group included more ASA 2 and 3 patients (P=.010), and had a higher number of previous medical problems per patient (P=.037). The post-operative mortality was higher in the older age group, although the difference was not significant (8.3 vs 3.3%). There were also no significant differences in post-operative morbidity (45.8 v. 46.6%), reintervention rate (16.6 vs 13.3%), length of hospital stay (18 vs 13%), and survival at 6 and 12 months (84 and 72% vs 90 and 86%).
  
  
  CONCLUSIONS
  Age, in itself, does not seem to be a contraindication for CPD, but the elderly do have a higher risk of complications due to the physiological changes associated with ageing. The disparity of results demonstrates the need for more population studies at national level that may give an overall view of morbidity and mortality in CPD.
authors.affiliation: Servicio de Cirugía, Hospital Son Llátzer, Palma de Mallorca, España. rafa.morales@telefonica.net
authors.forename: Rafael
authors.initials: R
authors.lastname: Morales Soriano
authors.forename: Angel
authors.initials: A
authors.lastname: Cuadrado García
authors.forename: José Francisco
authors.initials: JF
authors.lastname: Noguera Aguilar
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Vicens Arbona
authors.forename: Antonia
authors.initials: A
authors.lastname: Socías Mir
authors.forename: Neus
authors.initials: N
authors.lastname: Esteve Pérez
authors.forename: Anna
authors.initials: A
authors.lastname: Sánchez López
authors.forename: Antonio
authors.initials: A
authors.lastname: Arrivi García-Ramos
authors.forename: Miriam
authors.initials: M
authors.lastname: Dorao Martínez-Romillo
authors.forename: María
authors.initials: M
authors.lastname: Company Campins
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D011446:Prospective Studies; D016896:Treatment Outcome