J Gastric Cancer.  2016 Mar;16(1):43-50. 10.5230/jgc.2016.16.1.43.

Low Serum Albumin Level, Male Sex, and Total Gastrectomy Are Risk Factors of Severe Postoperative Complications in Elderly Gastric Cancer Patients

  • 1Department of Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea. md9650@hanyang.ac.kr


It is well known that old age is a risk factor for postoperative complications. Therefore, this study aimed to explore the risk factors for poor postoperative surgical outcomes in elderly gastric cancer patients.
Between January 2006 and December 2015, 247 elderly gastric cancer patients who underwent curative gastrectomy were reviewed. In this study, an elderly patient was defined as a patient aged ≥65 years. All possible variables were used to explore the risk factors for poor early surgical outcomes in elderly gastric cancer patients.
Based on multivariate analyses of preoperative risk factors, preoperative low serum albumin level (<3.5 g/dl) and male sex showed statistical significance in predicting severe postoperative complications. Additionally, in an analysis of surgery-related risk factors, total gastrectomy was a risk factor for severe postoperative complications.
Our study findings suggest that low serum albumin level, male sex, and total gastrectomy could be risk factors of severe postoperative complications in elderly gastric cancer patients. Therefore, surgeons should work carefully in cases of elderly gastric cancer patients with low preoperative serum albumin level and male sex. We believe that efforts should be made to avoid total gastrectomy in elderly gastric cancer patients.


Stomach neoplasms; Aged; Risk factors; Postoperative complications

MeSH Terms

Multivariate Analysis
Postoperative Complications*
Risk Factors*
Serum Albumin*
Stomach Neoplasms*
Serum Albumin

Cited by  1 articles

Bioelectrical Impedance Analysis for Prediction of Early Complications after Gastrectomy in Elderly Patients with Gastric Cancer: the Phase Angle Measured Using Bioelectrical Impedance Analysis
Byunghyuk Yu, Ki Bum Park, Ji Yeon Park, Seung Soo Lee, Oh Kyoung Kwon, Ho Young Chung
J Gastric Cancer. 2019;19(3):278-289.    doi: 10.5230/jgc.2019.19.e22.


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