J Gastric Cancer.  2016 Dec;16(4):254-259. 10.5230/jgc.2016.16.4.254.

Outcome of Gastric Cancer Surgery in Elderly Patients

• Kim MS
• Kim S

• KMID: 2389851
• DOI: http://doi.org/10.5230/jgc.2016.16.4.254

Abstract

PURPOSE
Owing to increased life expectancy, the number of elderly patients with gastric cancer has increased. This study aimed to identify the outcomes of gastric cancer patients aged 80 years or older through comparison of their clinicopathological characteristics, surgical outcomes, and oncologic outcomes.
MATERIALS AND METHODS
Between January 2006 and December 2013, the records of 478 patients who underwent surgery for gastric cancer were retrospectively evaluated. Patients were divided into two groups: patients <80 years old (n=446) and patients ≥80 years old (n=32).
RESULTS
There were no significant differences in sex, body mass index, length of hospital stay, duration of surgery, depth of invasion, nodal metastasis, histologic type, or tumor size between the two groups. However, significant differences were found for the American Society of Anesthesiologist score and the serum albumin level between the two groups. Postoperative morbidity, mortality, disease-free survival, and recurrence rate did not differ between curatively resected patients in the two groups.
CONCLUSIONS
In elderly patients with gastric cancer, active treatment including radical gastrectomy is necessary.

Keyword

Elderly; Treatment outcome; Stomach neoplasms; Complications; Gastrectomy

MeSH Terms

Aged*
Body Mass Index
Disease-Free Survival
Gastrectomy
Humans
Length of Stay
Life Expectancy
Mortality
Neoplasm Metastasis
Recurrence
Retrospective Studies
Serum Albumin
Stomach Neoplasms*
Treatment Outcome
Serum Albumin

Figure

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  Fig. 1 Disease free survival of curative resected patients. Young group, <80 years old; Elderly group, ≥80 years old.

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