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World J Gastrointest Oncol. Jan 15, 2017; 9(1): 30-36
Published online Jan 15, 2017. doi: 10.4251/wjgo.v9.i1.30
Pancreatic resection in very elderly patients: A critical analysis of existing evidence
Cosimo Sperti, Lucia Moletta, Gioia Pozza
Cosimo Sperti, Lucia Moletta, Gioia Pozza, Department of Surgery, Oncology and Gastroenterology, 3rd Surgical Clinic, University of Padua, 35128 Padua, Italy
Author contributions: Sperti C and Moletta L conceived the article and drafted the manuscript; Pozza G reviewed the Literature; all authors read and approved the final manuscript.
Conflict-of-interest statement: All the Authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Cosimo Sperti, MD, Department of Surgery, Oncology and Gastroenterology, 3rd Surgical Clinic, University of Padua, via Giustiniani 2, 35128 Padova, Italy. csperti@libero.it
Telephone: +39-049-8218845 Fax: +39-049-8218821
Received: August 9, 2016
Peer-review started: August 10, 2016
First decision: September 12, 2016
Revised: September 19, 2016
Accepted: November 16, 2016
Article in press: November 17, 2016
Published online: January 15, 2017
Core Tip

Core tip: Although not statistically significant, pancreatic resection in very older patients carried a greater risk of complications, mortality and nursing facility after discharge than in younger patients. Thus, pancreatectomy in 80 years and older patients, should be performed after careful consideration of potential benefit, surgical risk, and patient’s preferences.