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Comparison of Postoperative Morbidity in Elderly Patients who Underwent Pancreatic Resection
http://hdl.handle.net/10069/29173
http://hdl.handle.net/10069/29173d01ede24-ac64-4506-b57c-559e482fa7b6
名前 / ファイル | ライセンス | アクション |
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HepGas59_1141.pdf (201.1 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-05-19 | |||||
タイトル | ||||||
タイトル | Comparison of Postoperative Morbidity in Elderly Patients who Underwent Pancreatic Resection | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Complications | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | E-PASS | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Elderly patients | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Outcomes | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pancreatectomy | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Nanashima, Atsushi
× Nanashima, Atsushi× Abo, Takafumi× Nonaka, Takashi× Hidaka, Shigekazu× Takeshita, Hiroaki× Morisaki, Tomohito× Uehara, Ryohei× Ohnita, Ken× Takeshima, Fuminao× Isomoto, Hajime× Sawai, Terumitsu× Nakao, Kazuhiko× Nagayasu, Takeshi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background/Aims: Operative indications for pancreatectomy in elderly patients with pancreatic disease remain controversial. We examined clinicopathological characteristics and early outcomes in each generation of 147 patients who underwent pancreatectomy. Methodology: Patients were divided into four groups: Group 1 (n=15, 10%), young patients <50 years old; Group 2 (n=65; 44%), patients at 50-69 years old; Group 3 (n=61, 42%), patients at 70-79 years old and Group 4 (n=6, 4%), elderly patients <80 years old. Clinicopathological and surgical parameters were examined, including estimation of physiological ability and surgical stress consisting of preoperative risk score (PRS), surgical stress score (SSS) and comprehensive risk score (CRS). Results: Prevalence of comorbidity and American Society of Anesthesiologists (ASA) score increased significantly with increasing patient age (p<0.05). Extent of pancreatectomy and lymphadenectomy did not differ between groups and surgical records were similar. Tumor stage, post-operative course and complications were similar between groups. PRS and CRS increased significantly with increasing patient age (p<0.05) but SSS did not. Univariate analysis identified presence of systemic comorbidity, ASA score =2 and PRS =0.32 as factors associated with postoperative complications, but no independent predictive parameters were identified on multivariate analysis. Conclusions: Careful management and adequate decisions regarding pancreatectomy upon identification of comorbidity, ASA score and PRS are important in elderly patients with pancreatic disease before pancreatectomy. | |||||
書誌情報 |
Hepato-Gastroenterology 巻 59, 号 116, p. 1141-1146, 発行日 2012-05-18 |
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出版者 | ||||||
出版者 | H.G.E. Update Medical Publishing Ltd. | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 01726390 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00213244 | |||||
PubMed番号 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | PMID | |||||
関連識別子 | 22580667 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.5754/hge10777 | |||||
権利 | ||||||
権利情報 | © H.G.E. Update Medical Publishing S.A. | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Hepato-Gastroenterology, 59(116), pp.1141-1146; 2012 |