지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.12
- 수록면
- 248 - 253 (6page)
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초록· 키워드
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Backgrounds/Aims: To compare surgical results and survival of two groups of patients, age ≥70 vs. age ＜70, who underwent pancreaticoduodenectomy and to identify the safety of this procedure for elderly patients for the treatment of distal common bile duct (CBD) cancer. Methods: Between January 2003 and December 2009, 55 patients who underwent pancreaticoduodenectomy for the treatment of distal CBD cancer at Keimyung University Dong San Medical Center were enrolled in our study. Results: Of 55 patients, 28 were male and 27 female. Nineteen were over 70 years old (older group) and 36 were below 70 years (younger group). The mean ages of the two groups of patients were 73.5 years and 60.5 years respectively. Although patients of the older group had significantly more comorbid diseases, perioperative results including operation time, amount of intraoperative bleeding, duration of postoperative hospital stay and postoperative complications were not significantly different. A higher level (more than 5 mg/dl) of preoperative initial bilirubin showed significant correlations with operative morbidity by univariate analysis, and age was not an independent risk factor of operative morbidity. Overall 5 year survival of older and younger groups were 45.9% and 39.5% respectively (p=0.671) and disease-free 5-year survival were 31.7% and 31.1%, respectively (p=0.942). Conclusions: Surgical outcomes of elderly patients were similar to those of younger patients, despite a higher incidence of comorbid disease. This results shows that pancreaticoduodenectomy can be applied safely to elderly patients. (Korean J Hepatobiliary Pancreat Surg 2011;15:248-253)
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (28)
참고문헌 신청
1. [학술지(정기간행물)] - Takenaka K / 1994 / Liver resection for hepatocellular carcinoma in the elderly / Arch Surg 129 : 846 ~ 850
2. [학술지(정기간행물)] - Nomura F / 1994 / Clinical features of hepatocellular carcinoma in the elderly: a study of 91 patients older than 70 years / Br J Cancer 70 : 690 ~ 693
3. [학술지(정기간행물)] - Nagasue N / 1993 / Liver resection in the aged (seventy years or older) with hepatocellular carcinoma / Surgery 113 : 148 ~ 154
4. [학술지(정기간행물)] - Thomas DR / 1995 / Preoperative assessment of older adults / J Am Geriatr Soc 43 : 811 ~ 821
5. [학술지(정기간행물)] - Yasuda K / 2001 / Risk factors for complications following resection of large gastric cancer / Br J Surg 88 : 873 ~ 877
2. [학술지(정기간행물)] - Nomura F / 1994 / Clinical features of hepatocellular carcinoma in the elderly: a study of 91 patients older than 70 years / Br J Cancer 70 : 690 ~ 693
3. [학술지(정기간행물)] - Nagasue N / 1993 / Liver resection in the aged (seventy years or older) with hepatocellular carcinoma / Surgery 113 : 148 ~ 154
4. [학술지(정기간행물)] - Thomas DR / 1995 / Preoperative assessment of older adults / J Am Geriatr Soc 43 : 811 ~ 821
5. [학술지(정기간행물)] - Yasuda K / 2001 / Risk factors for complications following resection of large gastric cancer / Br J Surg 88 : 873 ~ 877
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