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Safety and survival benefit of surgical management for elderly gastric cancer patients.
- Source :
-
Hepato-gastroenterology [Hepatogastroenterology] 2014 Sep; Vol. 61 (134), pp. 1801-5. - Publication Year :
- 2014
-
Abstract
- Objective: To study the safety and survival outcome of surgical management for elderly gastric cancer patients. Methods: Patients proven of gastric cancer who aged ≥80 years during November 2002 to July 2011 were retrospectively analyzed. The detailed information of patients’ characteristics and surgical management was retrieved. Follow-up of overall survival status was performed to analyze the surgical effectiveness.<br />Results: Totally, 92 (48 in surgery and 44 in non-surgery group) out of 187 eligible patients recorded adequate information and analyzed finally. There were 34 patients undergone radical gastrectomy, 6 palliative gastrectomy, 1 gastrojejunostomy and 7 exploratory laparotomy. Median follow-up durations were 25 (9-111) and 28 (8-114) months in surgery and non-surgery groups, respectively (p=0.797). Clinical-pathological T stage and node status were comparable. Clinical-pathological distal metastasis status was 15 and 26 M1 cases for surgery and nonsurgery, respectively (p=0.006). Incidence of postoperative complications and hospital mortality were 25.0% and 2.1%, respectively. The 2-year survival rates of M0 subgroups were 35.7% and 0% for surgery and nonesurgery, respectively (HR=3.98, p=0.022).<br />Conclusions: The safety of surgery for well-selected ≥ 80-year elderly gastric cancer patients was potentially acceptable and the patients of early or locally advanced diseases could obtain survival benefits by surgery.
- Subjects :
- Age Factors
Aged, 80 and over
Chi-Square Distribution
Female
Hospital Mortality
Humans
Kaplan-Meier Estimate
Male
Postoperative Complications mortality
Retrospective Studies
Risk Assessment
Risk Factors
Stomach Neoplasms mortality
Time Factors
Treatment Outcome
Gastrectomy adverse effects
Gastrectomy mortality
Gastric Bypass adverse effects
Gastric Bypass mortality
Stomach Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0172-6390
- Volume :
- 61
- Issue :
- 134
- Database :
- MEDLINE
- Journal :
- Hepato-gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 25436382