摘要
AIM:ToevaluatetheimpactofadvancedageonoutcomeMETHODS:Twohundredsandelevenpatientsundergonehepatectomy,gastrectomyandpancreatoduodenectomyfromJanuary1998toSeptember2002wereanalyzedretrospectively.Clinicopathologicfeaturesandoperativeoutcomeof83patientsaged65yearsormorewerecomparedwiththatin128youngerpatientsagedlessthan65years.RESULTS:Thenutritionalstate,suchaspre-operationlevelofserumalbuminandhemoglobinintheolderpatientswaspoorerthanthatintheyoungerpatients.Theolderpatientshadhighercomorbiditiesthantheyoungerpatients(48.2%vs15.6%).Nosignificantdifferencewasobservedinpedoperativemortality,andcomplicationratebetweentheolderandyoungerpatients(2.4%vs1.6%and22.9%vs20.3%,respectively).Multivariateanalysisdemonstratedthatpancreatoduodenectomy,hepatectomywithresectionofmorethan2segmentsandcomorbiditieswereindependentpredictorsofpostoperativecomplication,whereasagewasnot(P=0.3172).CONCLUSION:Itissafeforpatientsaged65yearsormoretoundergohepatic,pancreaticandgastricresectionifgreatcareistakenduringperioperativeperiod.
出版日期
2004年12月22日（中国期刊网平台首次上网日期，不代表论文的发表时间）
