EARLY OUTCOME OF PANCREATICODUODENECTOMY IN SEPTUAGENARIANS AND OCTOGENARIANS IN NEPAL

Roshan Ghimire; Dhiresh Maharjan; Prabin Bikram Thapa

doi:10.33695/jss.v7i3.392

Roshan Ghimire Department of Surgery, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
Dhiresh Maharjan Department of Surgery, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
Prabin Bikram Thapa Department of Surgery, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal

DOI: https://doi.org/10.33695/jss.v7i3.392

Keywords: pancreaticoduodenectomy, septuagenarians, octogenarians, early outcome

Abstract

Elderly population is growing because of increasing life expectancy. Decision-making for major surgery like pancreaticoduodenectomy in this group is challenging. Therefore, we evaluated the feasibility of this procedure by comparing perioperative outcomes in Septuagenarians and Octogenarians patients. From August 2017 to December 2019, 18 consecutive patients who underwent pancreaticoduodenectomy were enrolled. These patients were divided into two groups (group1 – septuagenarians and group 2 – octogenarians). A comparative study between two groups was done regarding perioperative outcome and early complications. 18 patients were enrolled, 10 patients (55.6%) were septuagenarians (70-80 years) and 8 (44.4%) patients were Octogenarians (>80 years). There was no significant difference in the rate of surgical and medical complications between the two groups. Furthermore, there were no significant differences in risk factors, blood loss and operating time between the groups. Overall mortality in the study is 5.5%. Pancreaticoduodenectomy is feasible treatment option in septuagenarians and octogenarians with the help of multidisciplinary approach. Age alone should not be considered as decision maker for pancreaticoduodenectomy.

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