Purposes: To present preliminary perioperative and long-term outcomes in elderly patients compared with younger patients who underwent laparoscopic pancreaticoduodenectomy (LPD).Materials and Methods: A total of 199 patients who underwent LPD were included in this study. The primary data relating to these patients were collected and analyzed in our center from October 2010 to 2017. Results:The intraoperative and postoperative information, including the rate and severity of short-term complications, pathologic outcomes, and other surgical outcomes, showed no significant differences between the 2 groups. Furthermore, the median overall survival for 2 malignant diseases of the young patients was not significantly better than the elderly.Conclusions: Our data suggest that patient age showed little influence on postoperative morbidity, mortality, and long-term survival in pancreatic adenocarcinoma and periampullary adenocarcinoma following LPD, whereas studies with larger sample sizes and longer follow-up are necessary before definitive conclusions can be made.
Dear Editor,We appreciated the author Sophie and the other co-authors' contribution to the paper ''Postoperative Bleeding After Laparoscopic Pancreaticoduodenectomy: the Achilles' Heel?'' [1]. They concluded that laparoscopic pancreaticoduodenectomy (LPD) leads to higher rate of postoperative complications with postoperative bleeding in particular. However, we have several concerns of their study.Firstly, there were several statistical mistakes in their paper. The authors stated that there were 7 cases of benign lesions in the LPD group in the ''Result'' portion, including 4 cases of chronic pancreatitis, 2 cases of duodenaladenoma, and 2 cases of cystic dystrophia of the duodenal wall with aberrant pancreas. These data were inconsistent with the content of Table 1 (including 14 cases of benign diseases). The authors stated that the most frequent complication was pancreatic fistula (33%), followed by postoperative bleeding (18.3%). However, Table 3 showed that 24 patients (38%) suffered from abdominal collection. These data were paradoxical.Secondly, the authors reported 14 cases of bleeding in the LPD group. How many cases of bleeding were associated with pancreatic fistula? How many cases were caused by unthorough hemostasis? Twenty-four patients (38%) suffered from abdominal collection in the LPD group. Which place was the most common location of the abdominal collection? The infected abdominal collection may cause bleeding, especially in cases with pancreatic fistula. The authors just placed a closed suction behind the & Qinghong Xia
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