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Results of total gastrectomy with extended lymphadenectomy for gastric cancer in elderly patients
Author(s) -
Otsuji Eigo,
Fujiyama Junshin,
Takagi Tsuyoshi,
Ito Tadao,
Kuriu Yoshiaki,
Toma Atsushi,
Okamoto Kazuma,
Hagiwara Akeo,
Yamagishi Hisakazu
Publication year - 2005
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.20330
Subject(s) - medicine , gastrectomy , lymphadenectomy , cancer , complication , surgery , incidence (geometry) , retrospective cohort study , gastroenterology , physics , optics
Background and Objectives The incidence of gastric cancer, in people over 70 years of age, has increased remarkably. Aggressive lymphadenectomy with gastrectomy has been reported to improve survival in patients with gastric cancer. Because complication rates following gastrectomy increase with advancing age, we sought to determine whether this procedure was merited in elderly patients with gastric cancer. Methods We performed a retrospective analysis of 202 patients who underwent total gastrectomy with extended lymphadenectomy for gastric carcinoma. Postoperative complication rates were compared between patients over and under 70 years of age. Results The 10‐year survival rates of patients under and over 70 years of age following total gastrectomy with extended lymphadenectomy were not significantly different. Although medical comorbidities in each group were similar, pulmonary dysfunction was significantly more common following total gastrectomy in patients over 70 years than in patients under 70 years. Moreover, logistic regression analysis revealed that patient's age was the only variable that independently correlated with the presence of postoperative complications. Conclusions The prognosis of the gastric cancer patients over 70 years of age was similar to that of younger patients after total gastrectomy with extensive lymphadenectomy. However, pulmonary dysfunction was significantly more common in patients over 70 years old. J. Surg. Oncol. 2005;91:232–236. © 2005 Wiley‐Liss, Inc.