POSTOPERATIVE COMPLICASIONS IN ELDERLY PATIENTS WITH GASTRIC CANCER

• TAMAGAWA Hiroshi

  Department of First Surgery, Yokohama City University Kamishirane Hospital

• TAKAHASHI Makoto

  Kamishirane Hospital

• YUKAWA Norio

  Department of First Surgery, Yokohama City University

• RINO Yasushi

  Department of First Surgery, Yokohama City University

• TAKANASHI Yoshinori

  Department of First Surgery, Yokohama City University

• YAMADA Roppei

  Department of Gastroenterological Center, Yokohama City University Medical Center

• IMADA Toshio

  Department of Gastroenterological Center, Yokohama City University Medical Center

Bibliographic Information

Other Title

• 高齢者胃癌症例の術後合併症の検討

Abstract

Being apprehensive that postoperative complications may occur, we surgeons employ more limited surgeries for elderly patients, especially for those aged 80 and over, in not a few cases. In this study we investigated background factors of elderly patients and operative procedures to elucidate the correlations with postoperative complications and to serve making therapeutic guidelines for them.<br> Methods: Fifty-nine patients aged 75 and over who underwent surgery for gastric cancer from January 2000 to December 2004 were enrolled in this study. They were studied on preoperative underlying diseases and preoperative abnormal laboratory data in terms of postoperative complications. In addition 35 out of the 59 patients aged 79 and under (group A) were compared with 24 patients aged 80 and over (group B) for postoperative complications.<br> Results: A significantly higher incidence of postoperative delirium was noted in patients who had some underlying diseases, and a significantly higher incidence of postoperative SSI was seen in those who were in low nutrition status and/or had impaired renal function. Duration of hospital stay and the first day of starting a meal had no significant correlations with complications. There were no significant differences in background factors and postoperative complications between the group A and B.<br> Conclusions: Although elderly patients with gastric cancer aged 75 and over frequently had underlying diseases and abnormal laboratory findings preoperatively, there were no significant correlations between operative factors such as lymph node dissection and operation time and postoperative complica-tions and prolonged hospital stay. In another comparison between patients over 80 and those under 79, no significant differences were noted. Accordingly we consider that the great age might not be a reason to save lymph node dissection or to employ non-curative operation for candidates for curative operation, if the operation is performed following sufficient preoperative evaluation and under sufficient postoperative management.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (6), 1186-1192, 2006

  Japan Surgical Association

Keywords

• 高齢者胃癌
• 術前検査異常
• 術前既往歴
• 術後合併症

Details

• CRID: 1390282679823926272
• NII Article ID: 130003605072
• NII Article ID: 10018199217
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.1186
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/6/67_6_1186/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006269047
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed