Nakanoko Tomonori, Kakeji Yoshihiro, Ando Koji, Nakashima Yuichiro, Ohgaki Kippei, Kimura Yasue, Saeki Hiroshi, Oki Eiji, Morita Masaru, Maehara Yoshihiko
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Maidashi, Higashi-ku, Fukuoka, Japan.
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Maidashi, Higashi-ku, Fukuoka, Japan
Anticancer Res. 2015 Jan;35(1):511-5.
A gastrectomy for gastric cancer is sometimes required in patients older than 80 years due to the continuously increasing age of society. However, if a gastrectomy worsens the postoperative quality of life and daily activity in elderly patients because of poor nutrition, the procedure may not always be a useful treatment strategy.
Clinicopathological data of patients with gastric cancer who underwent a gastrectomy at our Department between 1998 and 2008 (N=471) were collected and analyzed. The results of treatment for patients older than 80 years (N=41) were analyzed and compared against those of patients younger than 80 years (N=430).
Patients older than 80 years had a higher frequency of preoperative co-morbidities than patients younger than 80 years. However, there was no statistical difference in postoperative complications regarding nutrition between the two groups.
Older age is not a determinant of poor nutrition following gastrectomy. Gastrectomy for gastric cancer is, therefore, a useful treatment strategy, regardless of ageing.
由于社会老龄化持续加剧，80岁以上的胃癌患者有时需要接受胃切除术。然而，如果胃切除术因营养不良而导致老年患者术后生活质量和日常活动恶化，那么该手术可能并不总是一种有效的治疗策略。
收集并分析了1998年至2008年期间在我科接受胃切除术的胃癌患者（N = 471）的临床病理数据。分析了80岁以上患者（N = 41）的治疗结果，并与80岁以下患者（N = 430）的结果进行了比较。
80岁以上患者术前合并症的发生率高于80岁以下患者。然而，两组之间在营养相关的术后并发症方面没有统计学差异。
高龄并非胃切除术后营养不良的决定因素。因此，无论年龄大小，胃癌胃切除术都是一种有效的治疗策略。
