老年患者腹腔镜辅助远端胃癌切除术：手术结果与预后
Laparoscopy-assisted Distal Gastrectomy for Gastric Cancer in Elderly Patients: Surgical Outcomes and Prognosis.
作者信息
Aratani Kenichi, Sakuramoto Shinichi, Chuman Motohiro, Kasuya Masato, Wakata Mitsuo, Miyawaki Yutaka, Gunji Hisashi, Sato Hiroshi, Okamoto Kojun, Yamaguchi Shigeki, Otsuji Eigo, Koyama Isamu
机构信息
Division of Digestive Surgery, Department of Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan
Division of Digestive Surgery, Department of Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
出版信息
Anticancer Res. 2018 Mar;38(3):1721-1725. doi: 10.21873/anticanres.12407.
BACKGROUND/AIM: Elderly patients usually have various comorbidities. Laparoscopic gastrectomy as a minimally-invasive treatment might be feasible for these patients. The aim of this study was to evaluate the safety and efficacy of laparoscopy-assisted distal gastrectomy (LADG) in elderly patients with gastric cancer by comparing the surgical outcomes and prognosis.
PATIENTS AND METHODS
We analyzed 136 patients who had undergone LADG between January 2013 and December 2014. We compared elderly patients (75 years old or more) with non-elderly patients.
RESULTS
The incidence of all postoperative complications did not differ between groups, and there were no significant differences in the time to first oral intake or the duration of postoperative hospital stay. The 3-year overall and recurrence-free survival rates were not significantly different between the groups.
CONCLUSION
LADG is a safe and less invasive treatment for gastric cancer in elderly patients, who have a greater incidence of comorbidity.
背景/目的：老年患者通常患有多种合并症。腹腔镜胃切除术作为一种微创治疗方法可能对这些患者可行。本研究的目的是通过比较手术结果和预后，评估腹腔镜辅助远端胃切除术（LADG）在老年胃癌患者中的安全性和有效性。
患者与方法
我们分析了2013年1月至2014年12月期间接受LADG的136例患者。我们将老年患者（75岁及以上）与非老年患者进行了比较。
结果
两组术后所有并发症的发生率无差异，首次经口进食时间或术后住院时间也无显著差异。两组的3年总生存率和无复发生存率无显著差异。
结论
LADG是合并症发生率较高的老年胃癌患者的一种安全且侵入性较小的治疗方法。
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