Complications after surgery for gastric cancer in patients aged 80 years and over

Japanese Journal of Clinical Oncology
F RovielloA Carli

Abstract

Recent studies have shown a considerable increase in the number of aged patients with gastric cancer. In this retrospective study, we report our 18-year experience with 110 patients aged 80 years and over affected with this neoplasm. Postoperative morbidity and mortality rates and risk factors affecting their incidence were examined by univariate and multivariate analysis. Operability and resectability rates were 70.9% and 47.3% respectively. Of the resective procedures, 41 (78.8%) were subtotal gastrectomies. In five cases (9.6%), we performed combined resections. Twenty-five patients (32.1%) experienced postoperative complications; overall mortality rate was 12.8% (10 patients). In resective procedures, morbidity and mortality were 26.9% and 3.8% respectively, which are very low rates compared to other Western reports. Statistical analysis identified the number of preexisting medical illnesses as an independent predictor of morbidity and mortality. Crude five-year survival rate of curatively resected cases was 43%. Although multiple medical illnesses involved much higher operative mortality, neither the presence of postoperative complications nor the number of preexisting medical illnesses significantly influenced five-year s...Continue Reading

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Citations

Apr 17, 1998·Japanese Journal of Clinical Oncology·T Nakajima
Nov 26, 2008·World Journal of Gastroenterology : WJG·Dao-Jun GongLi Chen
Nov 7, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ai-Guo LuHao Feng
Jun 15, 2010·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M W SaifK Syrigos
Nov 26, 2009·The British Journal of Surgery·R A AllardyceUNKNOWN Australasian Laparoscopic Colon Cancer Study Group
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Oct 29, 2008·American Journal of Surgery·Chih-Hsien LoWing-Yiu Lui
Jul 8, 2016·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Il Woong SohnYong Chan Lee
Mar 6, 2007·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Elena OrsenigoCarlo Staudacher
Jun 3, 2005·The British Journal of Surgery·D J ParkK J Choe
May 12, 2017·Updates in Surgery·Francesco CasellaRoberto Verzaro
Jul 31, 2019·Annals of Surgical Oncology·Tsuyoshi TanakaIchiro Uyama
Nov 27, 2004·Journal of Surgical Oncology·Arianna ConiglioStefano Maria Giulini

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