J Minim Invasive Surg.
2017 Dec;20(4):150-154. 10.7602/jmis.2017.20.4.150.
Complications and Survival Rate of Patients Over 80 Years Old Who Underwent Laparoscopic Gastrectomy for Gastric Cancer
- Affiliations
-
- 1Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea. hwangsh@pusan.ac.kr
- 2Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
- 3Department of Surgery, Pusan National University, Busan, Korea.
- KMID: 2414842
- DOI: http://doi.org/10.7602/jmis.2017.20.4.150
Abstract
- PURPOSE
As the life expectancy increases, the population of elderly patients increases. We evaluated the complications and survival rate of patients over 80 years old, who underwent laparoscopic gastrectomy.
METHODS
A retrospective analysis was conducted for a total of 1,912 patients, who underwent surgery with stomach cancer from 2008 to 2016. We analyzed postoperative complications and the survival rate between the middle old (70~79, n=255) group and the very old (≥80, n=37) group.
RESULTS
Among 1,912 patients, 255 people in the middle old group and 37 people within the very old group underwent laparoscopic gastrectomy. We confirmed that there was no significant difference except for the age (p<0.001) between the two groups. Overall complications were not statistically significantly different between the Middle old (70~79) group and the very old (≥80) group, 11.8% and 16.2%, respectively. There were also no statistically significant differences in severe complications beyond Clavien-Dindo classification Grade III. Risk factors for overall complications were higher in males than in females (p=0.002). Overall survival was statistically significantly lower with very old group (p<0.001).
CONCLUSION
Laparoscopic gastrectomy in gastric cancer patients over 80 years of age is feasible and safe in terms of complications. However, considering the life expectancy, it seems necessary to pay attention to the patients who apply surgery.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Entirely Laparoscopic Gastrectomy and Colectomy for Remnant Gastric Cancer with Gastric Outlet Obstruction and Transverse Colon Invasion
- Laparoscopic Surgery for Advanced Gastric Cancer: Current Status and Future Perspectives
- Advantages of Function-Preserving Gastrectomy for Older Patients With Upper-Third Early Gastric Cancer: Maintenance of Nutritional Status and Favorable Survival
- Simultaneous Laparoscopic Resection of Advanced Colorectal Cancer and Early Gastric Cancer
- Significance of a Splenectomy with a Curative Total Gastrectomy for Gastric Cancer A trospective analysis of 237 cases
