title: Laparoscopic pancreaticoduodenectomy in A-92-older Chinese patient for cancer of head of the pancreas: A Case report.
abstract: BACKGROUND
  Laparoscopic pancreaticoduodenectomy (LPD) is one of the most complex gastrointestinal procedures performed in laparoscopic abdominal surgery. However, the concern for elderly undergoing LPD remains. To the best of our knowledge, there are no reports describing LPD for A-92-older patient. This study aimed to share the experience of a tertiary pancreatic center and confirm the safety, feasibility of LPD for the elderly.
  
  
  METHODS
  The patient had complained of 6-months history of abdominal discomfort and progressive jaundice. Abdominal computed tomography CT/MR imaging revealed a 3 × 3 cm solid hypovascular mass in the head of the pancreas. LPD was successfully performed after multidisciplinary team (MDT). Operation time was 450 minutes, and blood loss was 120 mL. Histological examination of the resected specimen confirmed the diagnosis of pancreatic ductal adenocarcinoma (PDAC).
  
  
  RESULTS
  The patient was discharged on POD13 following an uneventful postoperative period. She was followed up 4 months without any sign of recurrence.
  
  
  CONCLUSIONS
  LPD can be performed safely in patients of any age who are fit for surgery in specialist centers.
authors.affiliation: Department of General Surgery, School of Medicine, Zhejiang University Department of General Surgery, Key Laboratory of Gastroenterology of Zhejiang Province, Zhejiang Provincial People's Hospital, Hangzhou Department of Hepatobiliary Surgery, Yinzhou Hospital Affiliated to Medical School of Ningbo University, Ningbo, Zhejiang Province, China.
authors.forename: Jiayu
authors.initials: J
authors.lastname: Zhou
authors.forename: Chang
authors.initials: C
authors.lastname: Xin
authors.forename: Tao
authors.initials: T
authors.lastname: Xia
authors.forename: Yiping
authors.initials: Y
authors.lastname: Mou
authors.forename: Xiaowu
authors.initials: X
authors.lastname: Xu
authors.forename: Renchao
authors.initials: R
authors.lastname: Zhang
authors.forename: Yucheng
authors.initials: Y
authors.lastname: Zhou
authors.forename: Weiwei
authors.initials: W
authors.lastname: Jin
authors.forename: Chao
authors.initials: C
authors.lastname: Lu
mesh_terms: D000369:Aged, 80 and over; D021441:Carcinoma, Pancreatic Ductal / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*