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Surgical treatment for gastric carcinoma in the elderly
Author(s) -
Coniglio Arianna,
Tiberio Guido Alberto Massimo,
Busti Monica,
Gaverini Giacomo,
Baiocchi Luca,
Piardi Tullio,
Ronconi Maurizio,
Giulini Stefano Maria
Publication year - 2004
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.20153
Subject(s) - medicine , cancer , incidence (geometry) , surgery , stage (stratigraphy) , survival rate , mortality rate , dissection (medical) , carcinoma , paleontology , physics , optics , biology
Background and Objectives The incidence of gastric cancer is increasing in the elderly. The aim of this study is to evaluate the impact of advanced age (≥80 years) on morbidity, mortality and late outcome after curative surgery for gastric cancer. Methods The cases of 30 octogenarians (Group A) with gastric cancer who underwent surgical treatment in our Institution from 1990 to 2003 were reviewed and compared to a simultaneous group of 228 younger patients (Group B). Results The rate of resective and curative procedures was not different in the two groups, although the American Society of Anaesthesiologists (ASA) risk was significantly higher in the elderly ( P < 0.001) and the lymphatic dissection was less extended in group A. In the two groups, the curability was directly correlated to the cancer stage, but not affected by the ASA risk. The postoperative morbidity and mortality rates were similar in the two groups and were not related to the ASA risk. Considering the mortality for gastric cancer alone, the two groups showed a similar survival rate, only correlated to the cancer stage. Conclusions In the elderly, an oncologically correct surgical procedure can safely be prosecuted with satisfactory immediate and late results. J. Surg. Oncol. 2004;88:201–205. © 2004 Wiley‐Liss, Inc.