Title

老年胰十二指腸切除術併發症回顧性分析(附96例報告)

Translated Titles

Retrospective Analysis of Complications after Pancreaticoduodenectomy in Older Patients (96 Cases Report)

Authors

甫拉提•居馬(Pulati Juma);樓文暉(Wen-Hui Lou);靳大勇(Da-Yong Jin)

Key Words

胰十二指腸切除術 ; 併發症 ; 老年 ; Pancreaticoduodenectomy ; Complication ; Old-aged

PublicationName

中國臨床醫學

Volume or Term/Year and Month of Publication

12卷4期(2005 / 08 / 25)

Page #

624 - 626

Content Language

簡體中文

Chinese Abstract

Objective: To review the surgical complication and related factors in older patients with periamullary tumor after pancreaticoduodenectomy. Methods: Retrospectively analyze the complications and treatment of 96 patients who received pancreaticoduodenectomy from Jan. 2002 to Jun. 2004. the patients were divided into older group (≥65) and middle-aged group (<65) according to their age. Results: There were 37 cases in older group and 59 cases in middle-aged group. There was no difference in the mortality between the two groups. The complication rate in older group was 40.54%, in middle-aged group was 38.98%, no statistical significance was observed. Heart and respiratory complication rate in older group was 18.91%, while in middle-aged groups was 1.69%, statistical significance was observed. Conclusion: Age is not the absolute contra indication for pancreaticoduodenectomy, in older patient with periampullary carcinoma, pancreaticoduodenectomy is safe with careful intra-operative manipulation and post-operative care. Pen-operative monitor of cardiac-pulmonary function is important.

English Abstract

Objective: To review the surgical complication and related factors in older patients with periamullary tumor after pancreaticoduodenectomy. Methods: Retrospectively analyze the complications and treatment of 96 patients who received pancreaticoduodenectomy from Jan. 2002 to Jun. 2004. the patients were divided into older group (≥65) and middle-aged group (<65) according to their age. Results: There were 37 cases in older group and 59 cases in middle-aged group. There was no difference in the mortality between the two groups. The complication rate in older group was 40.54%, in middle-aged group was 38.98%, no statistical significance was observed. Heart and respiratory complication rate in older group was 18.91%, while in middle-aged groups was 1.69%, statistical significance was observed. Conclusion: Age is not the absolute contra indication for pancreaticoduodenectomy, in older patient with periampullary carcinoma, pancreaticoduodenectomy is safe with careful intra-operative manipulation and post-operative care. Pen-operative monitor of cardiac-pulmonary function is important.

Topic Category 醫藥衛生 > 醫藥衛生綜合