[Evaluation of Postoperative Complications after Gastrectomy in Elderly Patients Aged Over 80 Years].
Gan to kagaku ryoho. Cancer & chemotherapy(2016)
Abstract
PURPOSE:The aim of this study was to evaluate the safety and feasibility of gastrectomy in elderly patients aged over 80 years.
PATIENTS AND METHODS:A total of 393 patients who underwent gastrectomy for gastric cancer were assigned to 2 groups: those aged over 80 years(n=48; elderly group)and those less than 80 years(n=345).Clinicopathological features, operative factors, post-operative complications(Clavien-Dindo Grade II or higher), and mortality were retrospectively analyzed.
RESULTS:Rates of distal gastrectomy(73% vs 59%, p=0.043)and D1 or D1+dissection(73% vs 58%, p=0.046)were significantly higher in the elderly group.There were no significant differences in post-operative complication rates(23% vs 20.3%, p=0.255)or mortality rates(2.1% vs 0.6%).
CONCLUSION:Our results indicate that gastrectomy in elderly patients aged over 80 years may be safe and feasible.
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Key words
gastrectomy,postoperative complications,elderly patients,aged
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