Hideaki Suematsu1, Chikara Kunisaki2, Hiroshi Miyamato1, Kei Sato1, Sho Sato1, Yusaku Tanaka1, Norio Yukawa3, Yasushi Rino3, Takashi Kosaka4, Hirotoshi Akiyama4, Itaru Endo4, Munetaka Masuda3. 1. Department of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan. 2. Department of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan s0714@med.yokohama-cu.ac.jp. 3. Department of Surgery, Yokohama City University, Graduate School of Medicine, Yokohama, Japan. 4. Department of Gastroenterological Surgery, Yokohama City University, Graduate School of Medicine, Yokohama, Japan.
Abstract
BACKGROUND/AIM: The purpose of this study was to evaluate the safety and efficacy of laparoscopic total gastrectomy (LTG) for elderly patients. PATIENTS AND METHODS: We retrospectively analyzed 136 patients who underwent LTG. We divided the patients into elderly patients (>75 years of age) and non-elderly patients (≤75 years of age). RESULTS: The American Society of Anesthesiologists score, Charlson comorbidity index, Glasgow Prognostic Score and rate of comorbidities were higher in the elderly group; the rates of other clinicopathological characteristics did not differ between the two groups. Regarding the nutritional status, the body weight loss rate in the elderly group was higher in comparison to the non-elderly group (81% vs. 84%, p=0.004). The disease-specific survival (DSS) did not differ between two groups to a statistically significant extent (3-year DSS rates: 83.7 vs. 94.5%; p=0.152). CONCLUSIONS: LTG was acceptable for elderly patients as the elderly and non-elderly groups showed comparable short-term and long-term outcomes. Copyright
BACKGROUND/AIM: The purpose of this study was to evaluate the safety and efficacy of laparoscopic total gastrectomy (LTG) for elderly patients. PATIENTS AND METHODS: We retrospectively analyzed 136 patients who underwent LTG. We divided the patients into elderly patients (>75 years of age) and non-elderly patients (≤75 years of age). RESULTS: The American Society of Anesthesiologists score, Charlson comorbidity index, Glasgow Prognostic Score and rate of comorbidities were higher in the elderly group; the rates of other clinicopathological characteristics did not differ between the two groups. Regarding the nutritional status, the body weight loss rate in the elderly group was higher in comparison to the non-elderly group (81% vs. 84%, p=0.004). The disease-specific survival (DSS) did not differ between two groups to a statistically significant extent (3-year DSS rates: 83.7 vs. 94.5%; p=0.152). CONCLUSIONS:LTG was acceptable for elderly patients as the elderly and non-elderly groups showed comparable short-term and long-term outcomes. Copyright
Authors: Su Mi Kim; Ho Geun Youn; Ji Yeong An; Yoon Young Choi; Sung Hoon Noh; Seung Jong Oh; Tae Sung Sohn; Sung Kim Journal: J Gastrointest Surg Date: 2018-03-16 Impact factor: 3.452
Authors: Yonghoon Choi; Nayoung Kim; Ki Wook Kim; Hyeong Ho Jo; Jaehyung Park; Hyuk Yoon; Cheol Min Shin; Young Soo Park; Dong Ho Lee Journal: Ann Geriatr Med Res Date: 2022-03-18