PMID: 30160392May 1, 2016Paper

MINIMALLY INVASIVE SURGERY AND OPTIMAL PERIOPERATIVE MANAGEMENT FOR ELDERLY SURGICAL PATIENTS

Nihon Geka Gakkai zasshi
Katsuhiko Yanaga

Abstract

As a result of increasing life expectancy, the incidence of cancer diagnosed in the older population is rising. The therapeutic strategies for elderly patients are generally difficult to determine due to comorbidity, functional status, and socioeconomic aspects. For esophageal cancer, strict operative indications as well as advances in perioperative management have resulted in marked improvement of surgical outcomes after esophagectomy even in elderly patients. Laparoscopic surgery for gastric cancer and colorectal cancer spread rapidly throughout Japan, and reasonable surgical outcomes have been reported in the elderly. In future, objective assessments of the surgical stress of treatment will be essential. Furthermore, clinical research based on geriatric assessment scores are warranted for elderly patients with gastrointestinal cancers.

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