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KMID : 0371320010610030287
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Journal of the Korean Surgical Society
2001 Volume.61 No. 3 p.287 ~ p.294
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Surgical Treatment and Prognosis for Gastric Cancer in the Elderly
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Oh Sang-Hyun
Lee Moon-Soo
Cho Gyu-Seok
Chae Man-Kyu
Kim Sung-Yong
Baek Moo-Jun
Park Kyung-Kyu
Kim Chang-Ho
Song Ok-Pyung
Cho Moo-Sik
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Abstract
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Purpose
The number of elderly patients who undergo surgery for gastric cancer has increased in recent years due to a life expectancy. To prevent fatal complications and increase the survival rate in gastric cancer patients, this study endeavored to
clarify
the
risk factors contributing to postoperative complications in elderly patients undergoing a radical gastrectomy.
Methods
Between January 1997 and December 1998, 176 patients underwent a gastrectomy for gastric cancer. For this review, the patients were divided into two groups; 30 patients over 70 years of age (older group) and 102 patients below 70 years of age
(younger
group), were prepared. A retrospective study was performed to examine the factors related
to the high rate of complications and to compare the operative and general complications.
Results
The incidences of preoperative combined disease were 56.6% in the older group and 31.3% in the younger group (p＜0.05), but no significant difference in the incidence of postoperative complications (36.6% versus 38.2%) was found between the two
groups.
The most common postoperative complications were wound infections, pulmonary disorders, and intraabdominal infections.
Conclusion
Despite the increased rate of preoperative combined disease in older patients, patients over 70 years are able to tolerate a radical gastrectomy for gastric cancer when optimal perioperative management is provided and blood loss is reduced.
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KEYWORD
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