Department of Surgery, Kosin University College of Medicine, Busan, Korea.
J Gastric Cancer. 2012 Dec;12(4):232-6. doi: 10.5230/jgc.2012.12.4.232. Epub 2012 Dec 31.
With an increase in life expectancy, more elderly patients are presenting with gastric cancer. As a result it is yet be resolved whether laparoscopy assisted distal gastrectomy is a suitable treatment for elderly patients with early gastric cancer. This study retrospectively compared surgical outcomes of laparoscopy assisted distal gastrectomy between elderly and nonelderly patients with gastric cancer.
The study group was comprised of 316 patients who underwent laparoscopy assisted distal gastrectomy between April 2005 and December 2010. Of these patients, 93 patients whose ages were 65 years or more were compared with 223 patients who were younger.
There were no differences in the short term outcome or minor complication rate between the elderly patients and the nonelderly patients. The hospital stay was significantly longer and the major complication rate was significantly higher for the elderly patients compared with nonelderly patients.
Laparoscopy assisted distal gastrectomy for early gastric cancer in the elderly patients had comparable operation time and blood loss with the nonelderly group. However, the safety and advantage of laparoscopy assisted distal gastrectomy in the elderly patients need to be further studied in higher volume trials.
随着预期寿命的延长，越来越多的老年患者出现胃癌。因此，腹腔镜辅助远端胃切除术是否适合老年早期胃癌患者仍未得到解决。本研究回顾性比较了腹腔镜辅助远端胃切除术治疗老年和非老年胃癌患者的手术结果。
研究组包括 2005 年 4 月至 2010 年 12 月期间接受腹腔镜辅助远端胃切除术的 316 例患者。其中，93 例年龄在 65 岁及以上的患者与 223 例年龄较小的患者进行了比较。
老年患者与非老年患者的短期结果或轻微并发症发生率无差异。与非老年患者相比，老年患者的住院时间明显延长，且主要并发症发生率明显更高。
对于老年早期胃癌患者，腹腔镜辅助远端胃切除术的手术时间和出血量与非老年组相当。然而，在更高容量的试验中，需要进一步研究腹腔镜辅助远端胃切除术在老年患者中的安全性和优势。
