Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Duodenopancreatectomy is a surgical procedure that involves the removal of part of the pancreas, duodenum, and bile ducts. This procedure is commonly performed in patients with pancreatic cancer or other gastrointestinal disorders. However, the safety and efficacy of duodenopancreatectomy in older adults (octogenarians) remain unclear. The goal of this review is to assess the outcomes and complications of duodenopancreatectomy in octogenarian patients. A systematic search of relevant literature was conducted using PubMed, Embase and the Cochrane Library databases. Studies reporting the outcomes and complications of duodenopancreatectomy in octogenarian patients were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Egger's test was used to evaluate publication bias. A total of 14 studies were included in this review. The outcomes of duodenopancreatectomy in octogenarian patients were generally favorable, with a median 30-day mortality rate of 3.5% (range 0-16.7%). The most common complications were pancreatic fistula (12.2%), delayed gastric emptying (6.3%) and wound infection (5.5%). The overall long-term survival rate of octogenarian patients after duodenopancreatectomy was 21.2%. Duodenopancreatectomy can be safely performed in carefully selected octogenarian patients with good outcomes. However, this procedure is associated with a high risk of complications, particularly pancreatic fistula, in this age group.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10859216 | PMC |
| http://dx.doi.org/10.26574/maedica.2023.18.4.705 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Surgical Management of Brain Metastases in Patients Aged 80 and Above: Observations From a Limited Case Series.
Cureus
August 2025
Neurosurgery, Temple University Hospital, Philadelphia, USA.
Introduction Potentially surgical brain metastases are increasingly common in patients aged 80 and older, yet the risk-benefit profile of surgical resection in this population remains inadequately defined. Surgical intervention in octogenarians carries a high risk due to systemic issues associated with advanced age and prevalent comorbidities, and data on perioperative morbidity and functional outcomes are limited. Methods A retrospective case series including six patients aged 80 years and older who underwent craniotomy for the resection of brain metastases at a single tertiary care center was conducted.
View Article and Find Full Text PDFOutcomes of ruptured abdominal aortic aneurysms in older adults and who should be offered surgery.
Semin Vasc Surg
September 2025
Division of Vascular and Endovascular Surgery, MaineHealth, Portland, ME. Electronic address:
As life expectancy increases, the prevalence of ruptured abdominal aortic aneurysms (rAAA) poses a significant challenge for our healthcare system. Aging induces biochemical changes, including degradation of the extracellular matrix and loss of vascular smooth muscle cells, which increase the propensity for the development of aneurysms and subsequent rupture due to compromised integrity of the aortic wall. The mortality rate for elderly patients presenting with rAAA is high, ranging from 80 to 90%.
View Article and Find Full Text PDFAbdominal Compartment Syndrome Following Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysm: A Challenging Case.
Surg Case Rep
August 2025
Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Introduction: Abdominal compartment syndrome (ACS) is a serious complication that can occur after endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (rAAA). Prompt recognition and appropriate management are crucial to improve patient outcomes.
Case Presentation: An octogenarian with an 11-cm rAAA underwent emergent EVAR due to cardiovascular instability.
Late Survival and Self-reported Quality of Life in Octogenarians with Prior Sternotomy Undergoing Valvular Surgery.
Ann Thorac Surg
September 2025
Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA. Electronic address:
Background: Recent advances in transcatheter valvular techniques often compete with open cardiac operations in managing high-risk patients with valvular disease, especially in the elderly. The present study assesses late survival and quality of life following valvular surgery in octogenarians with prior sternotomy.
Methods: We identified octogenarians who underwent cardiac valve reoperations between 2004 and 2023.
Outcomes and Safety of Catheter Ablation in the Elderly.
J Innov Card Rhythm Manag
August 2025
Department of Cardiology, UMass Chan Medical School - Baystate, Springfield, MA, USA.
Catheter ablation has emerged as a first-line therapy for many arrhythmias. However, data on the safety and outcomes of catheter ablation in the elderly population remain limited. Here, we aimed to study the outcomes of catheter ablation in octogenarians.
View Article and Find Full Text PDF