Koga S
Chirurg. 1976 Sep;47(9):490-3.
In the cases of gastric cancer in patients over 70 years old we were not able to find a noticeable difference of survival time between the cases of palliative total gastrectomy and those where no resection or no operation was undertaken. From these results and the high frequency of complications after total gastrectomy in patients over 70 years old, we cannot see the therapeutic significance of palliative total gastrectomy. On the other hand the results of postoperative examinations in the cases without cancer recurrence were favorable, and they live a relatively comfortable life for their age. If the preoperative risk of patients can be judged exactly and if cure can be expected, total gastrectomy must be considered even in the patients over 70 years old.
在70岁以上的胃癌患者中，我们未能发现姑息性全胃切除术患者与未进行切除或未手术患者之间的生存时间有明显差异。基于这些结果以及70岁以上患者全胃切除术后并发症的高发生率，我们看不到姑息性全胃切除术的治疗意义。另一方面，未发生癌症复发的患者术后检查结果良好，并且就其年龄而言生活相对舒适。如果能够准确判断患者的术前风险并且有望治愈，那么即使是70岁以上的患者也必须考虑进行全胃切除术。
