Elderly Pancreatic and Biliary Surgery Outcomes

This study is a cross-sectional study analyzing the daily database of the Department of hepatopancreatobiliary surgery, Beijing Hospital. From December 2020 to September 2022, 205 consecutive patients undergoing major pancreatic and biliary surgery were screened, and then, 140 elderly patients were recruited in this study.
The inclusion criteria of this study are as follows: (1) age ≥60 years old, which is the age cut-off of older adults defined by the Nation Health Commission of China (13 ); (2) major pancreatic and biliary surgery, containing pancreatectomy (Whipple procedure, distal pancreatectomy, and local pancreatectomy), bile-enteral bypass due to malignant obstructive, and bile duct exploration; (3) voluntary enrollment and signed informed consent. Exclusion criteria contain (1) emergency operation; (2) cancer patients who underwent adjuvant therapy before operation; (3) severe disability or dementia, inability to cooperate with frailty and sarcopenia assessment or effective communication; (4) refusal of informed consent. The Ethics Committee of Beijing Hospital approved the study protocol and written informed consents were obtained from all participants. (Approval letter No. 2020BJYYEC-218-01). The present study adhered to the STROBE guidelines for cross-sectional study. Figure 1 shows the flowchart of this study.