Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2000-3-28
pubmed:abstractText
Increasingly, patients of advanced age are coming for evaluation of periampullary tumors. Although several studies have demonstrated the safety of resecting periampullary tumors in older patients, few long-term survival data have been reported. Between 1983 and 1992 various periampullary masses were resected in 70 patients over age 65 (range 65-87 years). Total pancreatectomy was performed in 11 patients, and 59 patients underwent pancreaticoduodenectomy. The mean duration of hospitalization was 17 +/- 15 days. Major complications occurred in 27 patients (39%), and operative mortality rate was 8.5%. Overall median survival was 24 months; and 5-year survival was 25%. Perioperative outcome was compared in patients aged 65 to 74 years and in patients > or =75 years old. The older age group required longer periods in the surgical intensive care unit postoperatively, but the long-term survival was similar in the two age groups. Radical resection with the intent to cure periampullary tumors is safe in selected patients of advanced age, and long-term survival is in the range of expected survival for younger patients with the same tumors.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0364-2313
pubmed:author
pubmed:issnType
Print
pubmed:volume
24
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
353-8
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:10658072-Adenocarcinoma, pubmed-meshheading:10658072-Aged, pubmed-meshheading:10658072-Aged, 80 and over, pubmed-meshheading:10658072-Ampulla of Vater, pubmed-meshheading:10658072-Chi-Square Distribution, pubmed-meshheading:10658072-Evaluation Studies as Topic, pubmed-meshheading:10658072-Female, pubmed-meshheading:10658072-Humans, pubmed-meshheading:10658072-Male, pubmed-meshheading:10658072-Pancreatectomy, pubmed-meshheading:10658072-Pancreatic Neoplasms, pubmed-meshheading:10658072-Pancreaticoduodenectomy, pubmed-meshheading:10658072-Postoperative Complications, pubmed-meshheading:10658072-Retrospective Studies, pubmed-meshheading:10658072-Risk Factors, pubmed-meshheading:10658072-Statistics, Nonparametric, pubmed-meshheading:10658072-Survival Analysis, pubmed-meshheading:10658072-Treatment Outcome
pubmed:year
2000
pubmed:articleTitle
Radical resection of periampullary tumors in the elderly: evaluation of long-term results.
pubmed:affiliation
Department of Surgery, Division of Surgical Oncology, Sylvester Comprehensive Cancer Center, University of Miami, Florida 33136, USA.
pubmed:publicationType
Journal Article