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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.91 No.6
- 발행연도
- 2016.12
- 수록면
- 288 - 294 (7page)
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초록· 키워드
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Purpose: Recently, the number of elderly patients has increased due to a longer life expectancy. Among these elderly patients, more octogenarians will be diagnosed with major hepatobiliary pancreatic (HBP) diseases. Therefore, we need to evaluate the safety and risk factors of major HBP surgery in patients older than 80 years.
Methods: From January 2000 to April 2015, patients who underwent major HBP surgery were identified. The patients were divided into 2 groups according to their age at the time of surgery: Group O (≥80 years) and group Y (<80 years). The patient characteristics and intra- and postoperative outcomes were retrospectively investigated in the 2 groups.
Results: The median age was 84 years (range, 80–95 years) in group O and 61 years (range, 27–79 years) in group Y. group O had worse American Society of Anesthesiologists (ASA) physical status (ASA ≥ III: 23% vs. 7%, P = 0.002) and was associated with a higher rate of hypertension and heart problems as comorbidities. There were significant differences in albumin and BUN, favoring group Y. The length of intensive care unit stay was longer in group O, whereas the overall complication and mortality rates did not show statistical difference. But, there was a significant difference in systemic complication of both Clavien-Dindo classification grade ≥II and ≥III as complications were divided into surgical site complication and systemic complication.
Conclusion: Major HBP surgery can be performed safely in patients older than 80 years if postoperative management is appropriately provided.
Methods: From January 2000 to April 2015, patients who underwent major HBP surgery were identified. The patients were divided into 2 groups according to their age at the time of surgery: Group O (≥80 years) and group Y (<80 years). The patient characteristics and intra- and postoperative outcomes were retrospectively investigated in the 2 groups.
Results: The median age was 84 years (range, 80–95 years) in group O and 61 years (range, 27–79 years) in group Y. group O had worse American Society of Anesthesiologists (ASA) physical status (ASA ≥ III: 23% vs. 7%, P = 0.002) and was associated with a higher rate of hypertension and heart problems as comorbidities. There were significant differences in albumin and BUN, favoring group Y. The length of intensive care unit stay was longer in group O, whereas the overall complication and mortality rates did not show statistical difference. But, there was a significant difference in systemic complication of both Clavien-Dindo classification grade ≥II and ≥III as complications were divided into surgical site complication and systemic complication.
Conclusion: Major HBP surgery can be performed safely in patients older than 80 years if postoperative management is appropriately provided.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (26)
참고문헌 신청
[인터넷자원] - / / U.S. Census Bureau
[인터넷자원] - / / Age and sex
[인터넷자원] - / / Korea Statistical Information Services
[학술지(정기간행물)] - Melis M. / 2012 / The safety of a pancreaticoduodenectomy in patients older than 80 years: risk vs. benefits / HPB(Oxford) 14 : 583 ~ 588
[학술지(정기간행물)] - Oguro S. / 2013 / Perioperative and long-term outcomes after pancreaticoduodenectomy in elderly patients 80 years of age and older / Langenbecks Arch Surg 398 : 5318 ~
[인터넷자원] - / / Age and sex
[인터넷자원] - / / Korea Statistical Information Services
[학술지(정기간행물)] - Melis M. / 2012 / The safety of a pancreaticoduodenectomy in patients older than 80 years: risk vs. benefits / HPB(Oxford) 14 : 583 ~ 588
[학술지(정기간행물)] - Oguro S. / 2013 / Perioperative and long-term outcomes after pancreaticoduodenectomy in elderly patients 80 years of age and older / Langenbecks Arch Surg 398 : 5318 ~
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UCI(KEPA) : I410-ECN-0101-2017-514-001873123