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Journal of Gastrointestinal Surgery

, Volume 17, Issue 12, pp 2067–2073 | Cite as

Postoperative Complications and Survival after Gastric Cancer Surgery in Patients Older than 80 Years of Age

  • Kazuhito Mita
  • Hideto Ito
  • Masatoshi Hashimoto
  • Ryo Murabayashi
  • Hideki Asakawa
  • Masashi Nabetani
  • Kazuya Koizumi
  • Takashi Hayashi
  • Keiichi Fujino
Original Article

Abstract

Background

This study sought to identify and evaluate the risk factors of postoperative complications, prognostic factors, and appropriate surgical strategies in elderly patients undergoing surgery for gastric cancer.

Methods

The medical records of 396 radical gastrectomies conducted from January 2006 to December 2011 were retrospectively reviewed. Surgical results and survival rates were assessed for 60 elderly patients (aged ≥ 80 years) and 336 non-elderly patients (aged < 80 years). The study groups were compared with respect to clinicopathological findings, surgical outcomes, and survival.

Results

Elderly patients underwent gastrectomies with shorter operation time, showed less extensive lymphadenectomy, and had a significant difference in overall survival compared with non-elderly patients, although there was no difference in cause-specific survival among patients receiving curative resection. No significant risk factors affecting postoperative complications were identified in the elderly patients. Number of comorbidities (≥2) (HR, 5.30; 95 % CI, 1.11–25.32; P = 0.037) and TNM stage (≥II) (HR, 12.97; 95 % CI, 1.60–105.38; P = 0.017) were identified as independent prognostic factors in the elderly patients receiving curative resection.

Conclusions

Age is not an independent prognostic factor for patients receiving curative resection for gastric cancer. Multiple comorbidities may also influence the prognosis of elderly patients. Careful follow-up would improve overall survival for elderly patients.

Keywords

Gastric cancer Elderly Survival Complication 

Notes

Acknowledgments

None.

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Copyright information

© The Society for Surgery of the Alimentary Tract 2013

Authors and Affiliations

  • Kazuhito Mita
    • 1
  • Hideto Ito
    • 1
  • Masatoshi Hashimoto
    • 1
  • Ryo Murabayashi
    • 1
  • Hideki Asakawa
    • 1
  • Masashi Nabetani
    • 1
  • Kazuya Koizumi
    • 1
  • Takashi Hayashi
    • 1
  • Keiichi Fujino
    • 1
  1. 1.Department of SurgeryNew-Tokyo HospitalMatudoJapan

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