RESUMO
<p><b>OBJECTIVES</b>To analyze the prognostic factors for elderly patients with pancreaticoduodenectomy for periampullary tumor.</p><p><b>METHODS</b>A retrospective analysis of the prognostic factors for the mortality rate was made in 127 elderly patients within 30 days of pancreaticoduodenectomy for periampullary tumor from January 1985 to November 2006 Chi-squared test, Fisher's exact test, t-test were used.</p><p><b>RESULTS</b>The prognostic factors for the first-month mortality rate in elderly patients with pancreaticoduodenectomy included time length of the operation, operative hemorrhage, postoperative hemorrhage, pulmonary infection, and postoperative TP.</p><p><b>CONCLUSIONS</b>An overall consideration should be paid to the factors that affect the prognosis of elderly patients with pancreaticoduodenectomy for periampullary tumor during the perioperative period. The security of the patients can be promoted by controlling these prognostic factors.</p>