Surgical Approach and Length of Stay in Octogenarians Undergoing Pancreatic Resection for Malignancy
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View abstract on PubMed
Summary
This summary is machine-generated.Minimally invasive surgery (MIS) in octogenarians reduced hospital stay for distal pancreatectomy but not for pancreaticoduodenectomy. This finding is crucial for elderly patients undergoing pancreatic surgery.
Area Of Science
- Surgical Oncology
- Geriatric Surgery
- Minimally Invasive Procedures
Background
- Pancreatic surgery recovery is lengthy for elderly patients.
- Minimally invasive surgery (MIS) may reduce length of stay (LOS).
- The benefit of MIS in octogenarians undergoing pancreatic surgery is not well-established.
Purpose Of The Study
- To investigate if MIS approaches are associated with reduced LOS in octogenarians undergoing pancreaticoduodenectomy (Whipple) or distal pancreatectomy (Distal).
Main Methods
- Utilized the NSQIP database for patient data.
- Classified operative approaches as Open or MIS.
- Employed propensity score (PS) matching to control for confounding variables.
Main Results
- For distal pancreatectomy, MIS was associated with a significantly shorter LOS (6 vs. 5 days, p < 0.01) after PS matching.
- For pancreaticoduodenectomy (Whipple), no significant difference in LOS was observed between Open and MIS approaches (9 vs. 8 days, p = 0.546) after PS matching.
- Analysis included 202 Whipple and 446 Distal patients post-PS matching.
Conclusions
- MIS is associated with decreased LOS for octogenarians undergoing distal pancreatectomy.
- MIS does not appear to reduce LOS for octogenarians undergoing pancreaticoduodenectomy (Whipple).
- Findings suggest a differential benefit of MIS based on the type of pancreatic surgery in the oldest patients.
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