Kim Sun-Whe
Department of Surgery, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Korea.
Ann Surg Treat Res. 2023 Aug;105(2):63-68. doi: 10.4174/astr.2023.105.2.63. Epub 2023 Aug 1.
Pancreatic cancer, one of the diseases of the elderly, has dismal prognosis, demanding major surgery with high risk and life quality problems, especially in the elderly. Therefore, treatment selection, whether or not to undergo surgery, preoperative risk assessment, and perioperative management of the elderly are becoming critical issues. Although the elderly are expected to have higher morbidity and mortality and lower long-term survival outcomes, surgery is becoming safer over time. Appropriate surgical indication selection, patient-centered decision-making, adequate prehabilitation and postoperative geriatric care are expected to improve surgical outcomes in the elderly. Surgeons must have the concept of geriatric care, and efforts based on institutional systems and academic societies are required. If well selected and prepared, the same surgical principle as non-elderly patients can be applied to elderly patients. In this paper, the surgical treatment of elderly patients with pancreatic cancer is reviewed.
胰腺癌是老年人易患的疾病之一，预后很差，需要进行高风险的大手术，且存在生活质量问题，在老年人中尤为如此。因此，治疗方案的选择、是否进行手术、术前风险评估以及老年人的围手术期管理正成为关键问题。尽管老年人预计发病率和死亡率更高，长期生存结果更低，但随着时间的推移，手术正变得越来越安全。选择合适的手术指征、以患者为中心的决策、充分的术前康复和术后老年护理有望改善老年人的手术效果。外科医生必须具备老年护理的理念，并且需要基于机构系统和学术团体做出努力。如果选择得当并做好准备，适用于非老年患者的相同手术原则也可应用于老年患者。本文对老年胰腺癌患者的外科治疗进行综述。
