Detailed Abstract
[E-poster - Biliary & Pancreas (Pancreas Disease/Surgery)]
[EP 080] Postoperative outcomes of minimally invasive distal pancreatectomy in elderly and octogenarian patients for left-sided pancreatic tumor
Yejong PARK1 , Dae Wook HWANG1 , Jae Hoon LEE1 , Ki Byung SONG1 , Eunsung JUN1 , Woohyung LEE1 , Bong Jun KWAK1 , Sarang HONG1 , Song Cheol KIM*1
1 Division Of Hepatobiliary And Pancreatic Surgery, Department Of Surgery, Asan Medical Center, University Of Ulsan College Of Medicine, Seoul, Republic Of Korea, REPUBLIC OF KOREA
Background : The aim of this study was to investigate the relationship between age and postoperative outcomes among patients who underwent minimally invasive distal pancreatectomy (MIDP) for left ?sided pancreatic tumor.
Methods : A total of 2212 patients who underwent MIDP for left-sided pancreatic tumor were included in this study. Patients were divided into younger (n=1877, <70 years) and older (n=335, ≥70 years), and the postoperative outcomes between the two groups was compared.
Results : The American Society of Anesthesiology score ≥ 3 was more common in elderly patients than in non-elderly patients who underwent MIDP (15.2% vs. 3.2%, P < 0.001). Clinically?relevant postoperative pancreatic fistula (9.9% vs. 13.5%, P=0.077), Clavien-Dindo classification ≥ grade 3 (9.6% vs. 9.6%, P > 0.999), readmission in 30-days (7.5% vs. 7.1%, P=0.819), mortality in 90-days (0.3% vs. 0.2%, P=0.482) were comparable in these two groups. Elderly patients who underwent MIDP had a significantly difference for mean lengths of hospital stays (9.9 days vs. 8.9 days, P=0.023). The proportion of patients with malignancy disease was higher in elderly patients (50.7% vs. 21.2%, P < 0.001). There were no significant statistical differences between the two groups who underwent MIDP for left-sided pancreatic ductal adenocarcinoma in 5-year oveall survival (28.0% vs. 38.0%, P=0.057) and 5-year disease free-survival (29.6% vs. 27.1%, P=0.825). o
Conclusions : MIDP performed on the elderly is safe and feasible, leading to postoperative outcomes similar to those of nonelderly patients. Left-sided PDAC of elderly who underwent MIDP also showed comparable oncological outcomes when compared to non-elderly patients.
Methods : A total of 2212 patients who underwent MIDP for left-sided pancreatic tumor were included in this study. Patients were divided into younger (n=1877, <70 years) and older (n=335, ≥70 years), and the postoperative outcomes between the two groups was compared.
Results : The American Society of Anesthesiology score ≥ 3 was more common in elderly patients than in non-elderly patients who underwent MIDP (15.2% vs. 3.2%, P < 0.001). Clinically?relevant postoperative pancreatic fistula (9.9% vs. 13.5%, P=0.077), Clavien-Dindo classification ≥ grade 3 (9.6% vs. 9.6%, P > 0.999), readmission in 30-days (7.5% vs. 7.1%, P=0.819), mortality in 90-days (0.3% vs. 0.2%, P=0.482) were comparable in these two groups. Elderly patients who underwent MIDP had a significantly difference for mean lengths of hospital stays (9.9 days vs. 8.9 days, P=0.023). The proportion of patients with malignancy disease was higher in elderly patients (50.7% vs. 21.2%, P < 0.001). There were no significant statistical differences between the two groups who underwent MIDP for left-sided pancreatic ductal adenocarcinoma in 5-year oveall survival (28.0% vs. 38.0%, P=0.057) and 5-year disease free-survival (29.6% vs. 27.1%, P=0.825). o
Conclusions : MIDP performed on the elderly is safe and feasible, leading to postoperative outcomes similar to those of nonelderly patients. Left-sided PDAC of elderly who underwent MIDP also showed comparable oncological outcomes when compared to non-elderly patients.
SESSION
E-poster
E-Session 03/03 ~ 03/05 ALL DAY