Katoh H, Hirano S, Satoh K
Second Department of Surgery, Hokkaido University School of Medicine.
Nihon Ronen Igakkai Zasshi. 1994 Jan;31(1):33-7.
Between January, 1980 and December, 1992, 256 patients underwent resection of pancreatobiliary carcinoma. Sixty eight of these patients were more than 70 years old and are the subject of this review. The morbidity rate for pancreatic cancer patients undergoing pancreaticoduodenectomy was 50%. The five years survival rate was 15%. The morbidity rate for biliary cancer patients undergoing major resection was 40%. The five year survival rate was 40%. The data presented demonstrate that extended operation for pancreatic cancer should not be performed in the elderly patients but major resection for biliary cancer can be performed, even in elderly patients, with a low but somewhat increased mortality risk. Methods of estimating risk factor for elderly patients are required.
1980年1月至1992年12月期间，256例患者接受了胰胆管癌切除术。其中68例患者年龄超过70岁，是本综述的研究对象。接受胰十二指肠切除术的胰腺癌患者的发病率为50%。五年生存率为15%。接受大手术切除的胆管癌患者的发病率为40%。五年生存率为40%。所呈现的数据表明，老年患者不应进行胰腺癌的扩大手术，但胆管癌的大手术切除即使在老年患者中也可以进行，尽管死亡风险略有增加但仍然较低。需要有评估老年患者风险因素的方法。
