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Published on: March 17, 2026
Pancreatic resection in octogenarians
Jeffrey M Hardacre1, Kerri Simo, Michael F McGee
1Department of Surgery, University Hospitals Case Medical Center, Cleveland, OH 44106-5047, USA. jeffrey.hardacre@UHhospitals.org
The Journal of Surgical Research
|July 14, 2009
Summary
Pancreatectomy in elderly patients aged 80 and above can be done with low mortality. However, this major surgery is associated with significant complications and morbidity in this age group.
Area of Science:
- Geriatric Surgery
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Limited research on pancreatectomy outcomes in patients 80 years and older.
- Increasing elderly population in the United States necessitates such studies.
Purpose of the Study:
- To analyze the outcomes of pancreatectomy in patients aged 80 years or older.
- To assess the safety and efficacy of this procedure in the very elderly.
Main Methods:
- Retrospective review of medical records for 32 patients aged 80+ undergoing pancreatectomy.
- Data collected from April 1995 to October 2008.
Main Results:
- Median age of patients was 82 years; 75% were ASA Class 3.
- No operative deaths occurred, but 66% experienced complications.
- Median survival was 14.4 months, significantly longer for non-cancer patients (103 vs 12 months).
Conclusions:
- Pancreatectomy in octogenarians has a low mortality risk.
- Significant morbidity is a considerable concern in this patient population.
