Journal of Gastric Cancer

  • 제12권4호
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  • Pages.232-236
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  • 2012
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  • 2093-582X(pISSN)
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  • 2093-5641(eISSN)
대한위암학회 (The Korean Gastric Cancer Association)
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Laparoscopy-Assisted Distal Gastrectomy for Early Gastric Cancer in the Elderly

  • Kim, Eun Ji (Department of Surgery, Kosin University College of Medicine) ;
  • Seo, Kyung Won (Department of Surgery, Kosin University College of Medicine) ;
  • Yoon, Ki Young (Department of Surgery, Kosin University College of Medicine)
  • 투고 : 2012.07.05
  • 심사 : 2012.10.20
  • 발행 : 2012.12.31
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초록

Purpose: 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. Materials and Methods: 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. Results: 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. Conclusions: 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.

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참고문헌

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  3. Laparoscopic Total Gastrectomy in Elderly Patients (≥70 Years) with Gastric Carcinoma: A Retrospective Study vol.15, pp.3, 2015, https://doi.org/10.5230/jgc.2015.15.3.176
  4. Laparoscopic gastrectomy for elderly patients with gastric cancer : A systematic review with meta-analysis vol.97, pp.8, 2012, https://doi.org/10.1097/md.0000000000010007
  5. Role of Laparoscopic Gastrectomy in Very Elderly Patients with Gastric Cancer Who Have Outlived the Average Lifespan vol.18, pp.2, 2012, https://doi.org/10.5230/jgc.2018.18.e11
  6. Laparoscopic Distal Gastrectomy is Feasible in Very Elderly Patients as Compared with Open Distal Gastrectomy vol.31, pp.6, 2012, https://doi.org/10.1080/08941939.2017.1355025
  7. Long-term outcomes of laparoscopy-assisted distal gastrectomy versus open distal gastrectomy for gastric cancer: a 10-year single-institution experience vol.33, pp.1, 2012, https://doi.org/10.1007/s00464-018-6283-0
  8. Evaluation of Peroperative and Oncological Results in Laparoscopic Surgery of Gastric Cancer in Elderly Patients: Single-Center Study vol.31, pp.6, 2012, https://doi.org/10.1089/lap.2020.0472