Gastrointestinal Surgery, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey.
Langenbecks Arch Surg. 2010 Nov;395(8):1101-6. doi: 10.1007/s00423-010-0625-2. Epub 2010 Mar 10.
The aim of this study was to evaluate the effects of advanced age on early postoperative results and to investigate risk factors for mortality in Turkish gastric cancer patients.
From 2002 to 2007, 549 patients who underwent gastrectomy for gastric cancer were divided into two groups as patients younger than 70 years and patients aged 70 years or older.
There were 387 patients in the younger group and 162 in the older group. Morbidity rates were similar (25.1% vs. 29.0%). Mortality was higher among the elderly patients (2.6% vs. 9.9%). Advanced age, albumin levels lower than 3 mg/dl, higher American Society of Anesthesiologists score, palliative resections and resection of two or more additional organs were independent risk factors for mortality.
Age alone should not preclude gastric resection in elderly patients. However, for patients with multiple risk factors, more limited surgery should be considered.
本研究旨在评估高龄对胃癌患者术后早期结果的影响，并探讨其死亡的风险因素。
2002 年至 2007 年间，549 例行胃癌切除术的患者被分为年龄小于 70 岁组和年龄等于或大于 70 岁组。
年龄小于 70 岁组 387 例，年龄等于或大于 70 岁组 162 例。两组的发病率相似（25.1% vs. 29.0%）。老年患者死亡率更高（2.6% vs. 9.9%）。高龄、白蛋白水平低于 3mg/dl、美国麻醉医师协会评分较高、姑息性切除术和切除两个或更多其他器官是死亡的独立风险因素。
年龄本身不应排除老年患者的胃切除术。然而，对于存在多种危险因素的患者，应考虑更有限的手术。
