Limited lymph node dissection in elderly patients with gastric cancer
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- Yoshikawa Kozo
- The Department of Surgery, the University of Tokushima
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- Shimada Mitsuo
- The Department of Surgery, the University of Tokushima
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- Higashijima Jun
- The Department of Surgery, the University of Tokushima
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- Nakao Toshihiro
- The Department of Surgery, the University of Tokushima
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- Nishi Masaaki
- The Department of Surgery, the University of Tokushima
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- Kashihara Hideya
- The Department of Surgery, the University of Tokushima
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- Takasu Chie
- The Department of Surgery, the University of Tokushima
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Abstract
Background: The number of elderly patients with gastric cancer is continuing to increase along with the life expectancy of the general population. The purpose of this study was to investigate both the impact of age on postoperative outcome and the effect of limited lymph node dissection for elderly patients. Methods: Patients were classified into the following three groups: Group A, ≥80 years old (n=44); Group B, 70-80 years old (n=139); Group C, <70 years old (n=219). Postoperative complication and survival rates were compared between the three groups Results: Limited lymph node dissection was performed significantly more frequently in Group A. In terms of surgery-related complications, no significant difference was seen between groups. In terms of general related complications, the complication rate increased with age, from 4% in Group C to 13% in Group B and 14% in Group A (p<0.05 each). Although limited lymph node dissection was frequently performed in Group A, cancer-specific survival showed no significant difference in R0 patients. Conclusions: Limited lymph node dissection for gastric cancer did not affect the cancer-specific survival in elderly patients. J. Med. Invest. 63: 91-95, February, 2016
Journal
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- The Journal of Medical Investigation
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The Journal of Medical Investigation 63 (1.2), 91-95, 2016
The University of Tokushima Faculty of Medicine
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Details 詳細情報について
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- CRID
- 1390001204245772800
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- NII Article ID
- 130005141046
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- NII Book ID
- AA11166929
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- ISSN
- 13496867
- 13431420
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- PubMed
- 27040060
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- Text Lang
- en
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- Data Source
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- JaLC
- IRDB
- Crossref
- PubMed
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed