Short- and Long-Term Outcomes After Gastrectomy in Elderly Gastric Cancer Patients
- Authors
- Yang, Jun-Young; Lee, Hyuk-Joon; Kim, Tae Han; Huh, Yeon-Ju; Son, Young-Gil; Park, Ji-Ho; Ahn, Hye Seong; Suh, Yun-Suhk; Kong, Seong-Ho; Yang, Han-Kwang
- Issue Date
- Feb-2017
- Publisher
- SPRINGER
- Citation
- ANNALS OF SURGICAL ONCOLOGY, v.24, no.2, pp.469 - 477
- Journal Title
- ANNALS OF SURGICAL ONCOLOGY
- Volume
- 24
- Number
- 2
- Start Page
- 469
- End Page
- 477
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/6432
- DOI
- 10.1245/s10434-016-5482-y
- ISSN
- 1068-9265
- Abstract
- The number of elderly patients undergoing gastric cancer surgery has recently increased. We therefore evaluated the short- and long-term outcomes of elderly patients after curative gastrectomy. Overall, 824 patients were included in this retrospective study, which comprised of a non-elderly group (60-64 years; n = 558), an early-elderly group (75-79 years; n = 198), and a late-elderly group >= 80 years; n = 68) who underwent curative gastrectomy for gastric cancer between 2005 and 2009. Postoperative complications, according to the Clavien-Dindo classification, and survival of both elderly groups were compared with the non-elderly group. Postoperative life expectancy of the late-elderly group was compared with the corresponding aged general population. Overall and severe (grade III or higher) complications in the early-elderly group were comparable with the non-elderly group; however, those in the late-elderly group were significantly more common than in the non-elderly group (p = 0.013 and p = 0.043, respectively). Multivariable analysis revealed that age >= 80 years was an independent risk factor for severe complications (hazard ratio 3.02, 95 % confidence interval 1.12-8.17; p = 0.029), and the disease-specific survivals of both elderly groups were comparable with the non-elderly group in all TNM stages. Postoperative life expectancy of late-elderly patients eliminating death from recurrence was comparable with the corresponding aged general population eliminating death from gastric cancer. Gastric cancer surgery in elderly patients aged >= 80 years achieves reasonable long-term survival despite the increased risk of severe complications.
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