title: Assessment of Surgical Outcome After Pancreatic Resection in Extremely Elderly Patients.
abstract: OBJECTIVE
  Pancreatic resection is the only curative treatment for pancreatic and certain biliary malignancies. However, the mortality and morbidity associated with pancreatic resection remain high.
  
  
  METHODS
  The study included 114 patients with age 70 years or older who underwent pancreatic resection for pancreatic or biliary cancer between 2005 and 2014 at the Jikei University Hospital. We analyzed surgical outcomes, complications, mortality and long-term survival between patients aged 70-79 years (n=97) and those aged 80 years or over (n=17).
  
  
  RESULTS
  In patients aged 70 to 79 years, two died in-hospital and 8 required reoperation or interventional radiology (IVR). In patients aged 80 years or over, on the other hand, there was no in-hospital mortality. The incidence of complications and long-term survival were comparable.
  
  
  CONCLUSIONS
  Pancreatic resection for pancreatic and biliary malignancies in patients aged 80 years or over with good general condition and proper selection seems safe and acceptable.
authors.affiliation: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan Division of Gene Therapy, Research Center for Medical Sciences, The Jikei University School of Medicine, Tokyo, Japan shirai@jikei.ac.jp.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Shirai
authors.affiliation: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Shiba
authors.affiliation: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan Division of Gene Therapy, Research Center for Medical Sciences, The Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Horiuchi
authors.affiliation: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Saito
authors.affiliation: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Kenei
authors.initials: K
authors.lastname: Furukawa
authors.affiliation: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Taro
authors.initials: T
authors.lastname: Sakamoto
authors.affiliation: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Gocho
authors.affiliation: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ishida
authors.affiliation: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Yanaga
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001661:Biliary Tract Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D016019:Survival Analysis
keywords: Pancreatoduodenectomy; biliary tract cancer; elderly patients; octogenarian; pancreatic cancer