Weiwei Jin1, Jingrui Wang1, Yiping Mou2, Chao Lu2, Yunyun Xu, MS2. 1Zhejiang Univerisity School of Medicin, Zhejiang Provincial People’s Hosptial, 2Zhejiang Provincial People’s Hosptial
Background: With the increasing proportion of elderly patients with periampullary tumors, the outcomes of surgery for elderly patients should be concerned. Laparoscopic pancreaticoduodenectomy (LPD) has been proven with the advantage of less blood loss, earlier recovery. This study aimed to analyze the outcomes of LPD in elderly patients.
Methods: Prospective data from patients undergoing laparoscopic pancreaticoduodenectomy from September 2012 to January 2016 were enrolled. The patients were divided into three groups based on age with group I for patients aged < 60 years, group II for patients aged 60-75 years, group III for patients aged > 75years.
Results: A total of 157 patients underwent LPD from September 2012 to January 2016, with 63 patients in group I, 76 patients in group II, 18 patients in group III. The average operative time and blood loss were similar (I vs II vs III: 363.4 63.9 vs 368.3 51.4 vs 389.9 40.4 min, P(I-II) =0.6171, P(II-III)=0.0997; 175.3 88.8 vs 214.4 171.6 vs 227 209.9 ml, P(I-II)=0.0868, P(II-III)=0.7893). The overall complication was higher in group III than group I and group II (I vs II vs III: 27.6% vs 30.1% vs 66.7%, P(I-II)=0.7413, P(II-III)= 0.0018). however, the hospital stay was similar in group II and group III, but less in group I(I vs II vs III: 14.7 5.4 vs 19.3 12.4 vs 20.9 15.1 days, P(I-II)=0.0043, P(II-III)=0.6383), so did the cost (I vs II vs III: 95233.4 22662.0 vs 106549.7 35224.8 vs 112068.0 12461.2 RMB, P(I-II) =0.0238, P(II-III)=0.2727).
Conclusions: Laparoscopic pancreaticoduodenectomy is acceptable in elderly.
Keyword: laparoscopic surgery; pancreaticoduodenectomy; elderly; complication; costs
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79918
Program Number: P627
Presentation Session: Poster (Non CME)
Presentation Type: Poster
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