{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:23:28Z","timestamp":1792661008610,"version":"4.5.0"},"reference-count":0,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,2,14]],"date-time":"2014-02-14T00:00:00Z","timestamp":1392336000000},"content-version":"vor","delay-in-days":5098,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2000,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Increasingly, patients of advanced age are coming for evaluation of periampullary tumors. Although several studies have demonstrated the safety of resecting periampullary tumors in older patients, few long\u2010term survival data have been reported. Between 1983 and 1992 various periampullary masses were resected in 70 patients over age 65 (range 65\u201387 years). Total pancreatectomy was performed in 11 patients, and 59 patients underwent pancreaticoduodenectomy. The mean duration of hospitalization was 17 \u00b1 15\u00a0days. Major complications occurred in 27 patients (39%), and operative mortality rate was 8.5%. Overall median survival was 24\u00a0months; and 5\u2010year survival was 25%. Perioperative outcome was compared in patients aged 65 to 74 years and in patients \u226575 years old. The older age group required longer periods in the surgical intensive care unit postoperatively, but the long\u2010term survival was similar in the two age groups. Radical resection with the intent to cure periampullary tumors is safe in selected patients of advanced age, and long\u2010term survival is in the range of expected survival for younger patients with the same tumors.<\/jats:p>","DOI":"10.1007\/s002689910056","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T05:57:49Z","timestamp":1030255069000},"page":"353-358","source":"Crossref","is-referenced-by-count":57,"title":["Radical Resection of Periampullary Tumors in the Elderly: Evaluation of Long\u2010term Results"],"prefix":"10.1002","volume":"24","author":[{"given":"Oliver F.","family":"Bathe","sequence":"first","affiliation":[{"name":"Department of Surgery Division of Surgical Oncology Sylvester Comprehensive Cancer Center, University of Miami 1475\u00a0NW 12th Avenue, Suite 3550, Miami, Florida 33136 USA<!--<country1>US<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Levi","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Surgical Oncology Sylvester Comprehensive Cancer Center, University of Miami 1475\u00a0NW 12th Avenue, Suite 3550, Miami, Florida 33136 USA<!--<country1>US<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Humberto","family":"Caldera","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Miami 1475\u00a0NW 12th Avenue, Suite 3550 Miami Florida 33136 USA<!--<country1>US<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dido","family":"Franceschi","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Surgical Oncology Sylvester Comprehensive Cancer Center, University of Miami 1475\u00a0NW 12th Avenue, Suite 3550, Miami, Florida 33136 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USA<!--<country1>US<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Benedetto","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Miami 1475\u00a0NW 12th Avenue, Suite 3550 Miami Florida 33136 USA<!--<country1>US<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajender","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Miami 1475\u00a0NW 12th Avenue, Suite 3550 Miami Florida 33136 USA<!--<country1>US<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duane","family":"Hutson","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Surgical Oncology Sylvester Comprehensive Cancer Center, University of Miami 1475\u00a0NW 12th Avenue, Suite 3550, Miami, Florida 33136 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