title: Pancreatic Surgery in the Older Population: A Single Institution's Experience over Two Decades.
abstract: Objectives. Surgery is the most effective treatment for pancreatic cancer. However, present literature varies on outcomes of curative pancreatic resection in the elderly. The objective of the study was to evaluate age as an independent risk factor for 90-day mortality and complications after pancreatic resection.Methods. Nine hundred twenty-nine consecutive patients underwent 934 pancreatic resections between March 1995 and July 2014 in a tertiary care center. Primary analyses focused on outcomes in terms of 90-day mortality and postoperative complications after pancreatic resection in these two age groups.Results. Even though patients aged 75 years or older had significantly more postoperative morbidities compared with the younger patient group, the age group was not associated with increased risk of 90-day mortality after pancreatic resection.Discussion. The study suggests that age alone should not preclude patients from undergoing curative pancreatic resection.
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
authors.forename: Bhaumik
authors.identifier: 0000-0002-7013-2573
authors.initials: B
authors.lastname: Brahmbhatt
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Bhurwal
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Lukens
authors.affiliation: Clinical Studies Unit, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
authors.forename: Mauricia A
authors.initials: MA
authors.lastname: Buchanan
authors.affiliation: Division of General Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
authors.forename: John A
authors.initials: JA
authors.lastname: Stauffer
authors.affiliation: Division of General Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
authors.forename: Horacio J
authors.initials: HJ
authors.lastname: Asbun