gms | German Medical Science

130. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

30.04. - 03.05.2013, München

Clinical outcomes after partial pancreatoduodenectomy in elderly patients aged 80 and above

Meeting Abstract

  • Torsten J. Wilhelm - Universitätsmedizin Mannheim, Chirurgische Klinik, Mannheim
  • Felix Rückert - Universitätsmedizin Mannheim, Chirurgische Klinik, Mannheim
  • Stefan Post - Universitätsmedizin Mannheim, Chirurgische Klinik, Mannheim
  • Marco Niedergethmann - Universitätsmedizin Mannheim, Chirurgische Klinik, Mannheim

Deutsche Gesellschaft für Chirurgie. 130. Kongress der Deutschen Gesellschaft für Chirurgie. München, 30.04.-03.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgch246

doi: 10.3205/13dgch246, urn:nbn:de:0183-13dgch2465

Veröffentlicht: 26. April 2013

© 2013 Wilhelm et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Introduction: Introduction

In the last decades morbidity and mortality after partial pancreatoduodenectomy (PD) have decreased in most large centres. Yet PD remains a procedure with a relevant perioperative risk. Given the increasing number of elderly patients this study aims to evaluate the mortality and morbidity of patients aged 80 and above after PD.

Material and methods: Material and Methods

Retrospective analysis of all patients who underwent PD at the University Medical Centre Mannheim between January 2000 and December 2010 from a prospective database. We compared perioperative and follow-up details of patients aged 80 or above with those of patients younger than 80 using SPSS.

Results: Results

398 patients underwent PD. 372 patients were younger than 80 years (64±12, median±SD) and 26 were 80 years or above (83±1). Both groups were comparable with respect to indication for resection, ASA status, comorbidities, BMI, presence of jaundice, level of bilirubin, and presence of preoperatively placed TPCD. The only significant difference was that the elderly patients less frequently had weight loss prior to surgery.

There were no significant differences in kind of procedure (Whipple/Traverso), duration of surgery, and estimated blood loss between both groups. There were also no significant differences in postoperative mortality (4% versus 7%) and morbidity (surgical revision, pancreatic fistula, delayed gastric emptying, urinary tract infection, haemorrhage, pneumonia, surgical site infection).

On multivariate analysis risk factors for the incidence of any complications were ASA status, preoperative weight loss, and duration of surgery, but not age.

Conclusion: Conclusions

Clinical outcomes after pancreatoduodenectomy were similar in patients below and above 80 years of age at our institution. If indicated, PD should always be considered even in patients above 80.