Evaluation of Postoperative Complications after Gastrectomy in Elderly Patients Aged over 80 Years
Hashimoto, I.; Aoyama, T.; Yamada, T.; Hasuo, K.; Fukushima, T.; Matsukawa, H.; Yamamoto, Y.; Ozawa, Y.; Yoshikawa, T.; Rino, Y.; Masuda, M.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 43(12): 1515-1517
2016
ISSN/ISBN: 0385-0684 PMID: 28133041 Document Number: 690910
The aim of this study was to evaluate the safety and feasibility of gastrectomy in elderly patients aged over 80 years. 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. 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%). Our results indicate that gastrectomy in elderly patients aged over 80 years may be safe and feasible.