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Morbidity and mortality after non‐curative gastrectomy for gastric cancer in elderly patients
Author(s) -
Shim Jung Ho,
Ko Kyung Jai,
Yoo Han Mo,
Oh Seong Il,
Jeon Dong Jin,
Jeon Hae Myung,
Park Cho Hyun,
Song Kyo Young
Publication year - 2012
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.23121
Subject(s) - medicine , gastrectomy , cancer , comorbidity , surgery , resection , mortality rate
Background and Objectives This study examined the surgical outcome of non‐curative resection in elderly patients with gastric cancer. Methods The study reviewed 278 patients who underwent non‐curative resection for advanced gastric cancer. The clinicopathological features of elderly patients (≥75 years, n = 257) and younger patients (<75 years, n = 21) were compared. Results Although no difference was observed in terms of preoperative performance, there were distinct differences in terms of albumin level, presence of symptoms, and the rate of comorbidities between the two groups. The postoperative morbidity and mortality rate did not differ between the two groups. Age, preoperative performance status, preoperative transfusion, and presence of comorbidity were not independent predictors of postoperative complications. However, the extent of gastric resection and combined resection were closely related to postoperative complications in patients with non‐curative gastrectomy. Conclusions In a setting of non‐curative resection for gastric cancer, age was not a limiting factor. Rather, the risk of postoperative morbidity should be considered carefully in total gastrectomy and combined resection. J. Surg. Oncol. 2012; 106:753–756. © 2012 Wiley Periodicals, Inc.