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ID 30800
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Author
Uemura, Tadahiro
Otani, Jun
Kawasaki, Seiji
Kawai, Hiroshi
Suga, Masando
Maruyama, Shuichiro
Murakami, Masakazu
Morisue, Shinpachi
Yoshizane, Ken
Morokoshi, Yoshiro
Yamamoto, Masahiko
Soda, Mitsuhiro
Abstract

A retrospective study on postoperative complications and factors affecting prognosis was performed on elderly patients with gastric cancer. We studied the correlation of age, pathological depth, preoperative laboratory data, physical status, duration of surgery, volume of blood loss, blood transfusion, curability, and extent of lymph node dissection to postoperative complications and prognosis in 47 patients with gastric cancer over 80 years old. Preoperative function of lung and liver frequently showed abnormal data. Postoperative complications were noted in 47% of patients, especially in the pulmonary system, liver and heart. Curability and extent of lymph node dissection were the significant factor affecting survival. Some mortalities caused by initial malignancy were recognized in the conservative lymph node dissection in the stage I . The incidence of postoperative complications was not significantly different according to extent of lymph node dissection. Blood transfusion was the only significant factor for the incidence of postoperative complication. The most frequent cause of death was the initial malignancy. We recommend that a low grade lymph node dissection should not be readily chosen for elderly patients in early cases.

Keywords
gastric cancer
elderly patients
postoperative complications
preoperative evaluation
blood transfusion
Amo Type
Article
Published Date
1997-06
Publication Title
Acta Medica Okayama
Volume
volume51
Issue
issue3
Publisher
Okayama University Medical School
Start Page
159
End Page
165
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT