Aging over 70 Years Is Not a Decisively Dismal Prognostic Factor in Gastric Cancer Surgery

Sung-Il Cho; 장유진; 김종한; 박성수; 박성흠; 김승주; 김종석; 목영재

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자료유형: 학술저널

저자정보: Sung-Il Cho 장유진 김종한 박성수 박성흠 김승주 김종석 목영재

저널정보: 대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제11권 제4호

발행연도: 2011.1

수록면: 200 - 205 (6page)

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Purpose: Gastric cancer has a high incidence and mortality rate in Korea. Despite a growing older population and an increase in the number of older patients with gastric cancer, the older patients are not willing to undergo surgery due to their operative risks. Hence, to determine the clinical characteristics and outcomes of gastric cancer surgery for them, we investigate factors influencing the treatment decision. Materials and Methods: Between January 1996 and December 2005, a total of 1,519 patients were classified into two groups; the younger age group between 41 and 69 years of age, and the older age group of 70 years or older. The analysis conducted included patient characteristics, accompanying disorders, related American Society of Anesthesiologists (ASA) grade, pathological characteristics and survival rate for each age group. Results: Significant differences were found in the ASA grade (P<0.001) and the number of accompanying disorders (P<0.001) between the two groups. The average length of hospital stay after surgery was 14.5 days in the younger age group, and 13.3 days in the older age group (P=0.065). The average survival time was 47.5 months in the younger age group, and 43.2 months in the older age group (P<0.001). Conclusions: This study demonstrated that there was more number of accompanying disorders with a high surgical risk in the older age group. However, there was no significant difference between the older and younger age groups in terms of the incidence of complications, under the given disease conditions and if proper management was provided.

#Stomach neoplasms #Aged #Survival

참고문헌 (16)

참고문헌 신청

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