Document Detail


Does age matter in the indication for laparoscopy-assisted gastrectomy?
MedLine Citation:
PMID:  18597147     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Laparoscopy-assisted gastrectomy (LAG) is being increasingly performed in Japan. However, the indication of LAG in elderly patients who usually have preoperative morbidities and reduced functional capacities still remains unclear. MATERIALS AND METHODS: Two hundred eighty-nine patients who underwent LAG at the Cancer Institute Hospital were included in this study. Among them, 240 cases were younger than 75 years old (Y-LAG group), and 49 cases were 75 years old or older (E-LAG group). Early surgical outcomes between the two groups were compared to clarify the feasibility of performing LAG in elderly patients. RESULTS: The E-LAG group had a higher incidence of preoperative morbidities; however, the frequency of intraoperative and postoperative complications in this group was not significantly different from the Y-LAG group (9% vs 11%). The operation time was significantly shorter, and the number of retrieved lymph nodes was significantly smaller in the E-LAG group compared to the Y-LAG group. However, other early surgical outcomes were not significantly different between two groups. CONCLUSIONS: LAG proved to be a feasible and safe procedure in elderly patients provided that the patients were selected carefully.
Authors:
Masanori Tokunaga; Naoki Hiki; Tetsu Fukunaga; Akira Miki; Shigekazu Ohyama; Yasuyuki Seto; Toshiharu Yamaguchi
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-07-03
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  12     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-18     Completed Date:  2008-11-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1502-7     Citation Subset:  IM    
Affiliation:
Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Aged, 80 and over
Biopsy, Needle
Chi-Square Distribution
Cohort Studies
Feasibility Studies
Female
Follow-Up Studies
Gastrectomy / adverse effects,  methods*
Gastroscopy / adverse effects,  methods*
Humans
Immunohistochemistry
Japan
Male
Middle Aged
Neoplasm Staging
Patient Selection
Postoperative Complications / epidemiology
Preoperative Care / methods
Probability
Prospective Studies
Risk Assessment
Statistics, Nonparametric
Stomach Neoplasms / mortality*,  pathology,  surgery*
Survival Analysis
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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