TY - JOUR
T1 - Pancreatoduodenectomy with portal vein resection is feasible and potentially beneficial for elderly patients with pancreatic cancer
AU - Kanda, Mitsuro
AU - Fujii, Tsutomu
AU - Suenaga, Masaya
AU - Takami, Hideki
AU - Inokawa, Yoshikuni
AU - Yamada, Suguru
AU - Kobayashi, Daisuke
AU - Tanaka, Chie
AU - Sugimoto, Hiroyuki
AU - Nomoto, Shuji
AU - Fujiwara, Michitaka
AU - Kodera, Yasuhiro
PY - 2014/8
Y1 - 2014/8
N2 - OBJECTIVES: We aimed to evaluate the feasibility and clinical benefit of pancreatoduodenectomy (PD) with portal vein resection (PVR) in elderly patients. Methods: This retrospective study enrolled 272 consecutive patients with pancreatic ductal adenocarcinoma who underwent PD between 2000 and 2012. The patients were categorized into 4 groups: elderly (≥70 years) and younger (<70 years) PD-PVR groups as well as elderly and younger PD groups. Preoperative patient background, postoperative course, and overall survival were compared. Results: Among the patients who underwent PD-PVR, the elderly group had significantly higher prevalence of comorbidity compared with the younger group (77% and 52%, respectively; P = 0.003), whereas there were no differences in the intraoperative and pathological characteristics. Postoperatively, morbidity and length of hospital stay were similar between the elderly and younger groups. Despite the fact that the proportion of patients who underwent adjuvant chemotherapy was lower in the elderly group (62% vs 83%; P = 0.005), the overall survival of the elderly group was comparable with that of the younger group, and both groups had a significantly more favorable prognosis than that of 36 patients with unresected tumors (P = 0.006 and P < 0.001, respectively). Conclusions: Pancreatoduodenectomy with portal vein resection is safe and potentially beneficial for elderly patients with pancreatic cancer.
AB - OBJECTIVES: We aimed to evaluate the feasibility and clinical benefit of pancreatoduodenectomy (PD) with portal vein resection (PVR) in elderly patients. Methods: This retrospective study enrolled 272 consecutive patients with pancreatic ductal adenocarcinoma who underwent PD between 2000 and 2012. The patients were categorized into 4 groups: elderly (≥70 years) and younger (<70 years) PD-PVR groups as well as elderly and younger PD groups. Preoperative patient background, postoperative course, and overall survival were compared. Results: Among the patients who underwent PD-PVR, the elderly group had significantly higher prevalence of comorbidity compared with the younger group (77% and 52%, respectively; P = 0.003), whereas there were no differences in the intraoperative and pathological characteristics. Postoperatively, morbidity and length of hospital stay were similar between the elderly and younger groups. Despite the fact that the proportion of patients who underwent adjuvant chemotherapy was lower in the elderly group (62% vs 83%; P = 0.005), the overall survival of the elderly group was comparable with that of the younger group, and both groups had a significantly more favorable prognosis than that of 36 patients with unresected tumors (P = 0.006 and P < 0.001, respectively). Conclusions: Pancreatoduodenectomy with portal vein resection is safe and potentially beneficial for elderly patients with pancreatic cancer.
KW - elderly patients
KW - pancreatic cancer
KW - pancreatoduodenectomy
KW - portal vein resection
UR - http://www.scopus.com/inward/record.url?scp=84904393801&partnerID=8YFLogxK
U2 - 10.1097/MPA.0000000000000136
DO - 10.1097/MPA.0000000000000136
M3 - 学術論文
C2 - 24717827
AN - SCOPUS:84904393801
SN - 0885-3177
VL - 43
SP - 951
EP - 958
JO - Pancreas
JF - Pancreas
IS - 6
ER -
