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Prognostic factors for short-term and long-term outcomes of gastric cancer surgery for elderly patients: 10 years of experience at a single tertiary care center

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Abstract

This retrospective study aimed to verify the short-term and long-term outcomes of elderly patients who underwent gastric resection for gastric cancer and to compare the results between younger and elderly patients. 222 Patients, who underwent gastrectomy between January 2005 and December 2014, were divided into 2 groups: ≤ 75 years old (group A) and > 75 years (group B). The groups were homogeneous except for more advanced pathological stage (p = 0.011) and higher number of comorbidities in group B (p < 0.001) and a higher rate of neoadjuvant or adjuvant complementary therapy in group A (p = 0.029 and p < 0.001). Perioperative morbidity rates were 38.7 and 65.5% (p = 0.001), and mortality rates were 2.5 and 7.9% (p = ns), respectively. The independent negative prognostic factors for morbidity were age older than 75 years [odds ratio (OR) 2.7], multiple organ resection (OR 2.4), and male gender (OR 1.8). The 36-month survival rates were 76.1% and 42.1% (p = 0.002) and disease-free survival rates were 85% and 76.3% (p = 0.017), respectively. Surgical indications should not be limited by age.

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Authors and Affiliations

  1. General Surgery, ASST Spedali Civili Brescia, Brescia, Italy

    Stefano de Pascale, Andrea Celotti & Uberto Fumagalli Romario

  2. General Surgery, ASST Fatebenefrattelli Sacco, Milan, Italy

    Daniele Belotti

  3. General and Oncologic Surgery, Humanitas Research Hospital, Rozzano, Italy

    Eleonora Maddalena Minerva & Vittorio Quagliuolo

  4. General and Gastro-enteric Surgery University Vita e Salute San Raffaele, Milan, Italy

    Riccardio Rosati

  5. II Surgery, Spedali Civili di Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy

    Andrea Celotti

Authors
  1. Stefano de Pascale
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  2. Daniele Belotti
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  3. Andrea Celotti
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  4. Eleonora Maddalena Minerva
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  5. Vittorio Quagliuolo
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  6. Riccardio Rosati
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  7. Uberto Fumagalli Romario
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Correspondence to Andrea Celotti.

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All authors declare no conflict of interest or financial support.

Research involving human participants and/or animals

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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For this type of study formal consent is not required.

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The article is part of topical collection on Gastric Cancer Surgery.

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de Pascale, S., Belotti, D., Celotti, A. et al. Prognostic factors for short-term and long-term outcomes of gastric cancer surgery for elderly patients: 10 years of experience at a single tertiary care center. Updates Surg 70, 265–271 (2018). https://doi.org/10.1007/s13304-018-0548-y

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  • DOI: https://doi.org/10.1007/s13304-018-0548-y

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