内容紹介
Summary
We examined the occurrence of complications following gastric cancer surgery in the elderly and its influence on the prognosis of reduction surgery. The study included 805 surgical cases of gastric cancer; elderly, middle-aged, and young patients were examined. In the elderly patients, there was a tendency to undergo reduction surgery. According to the gastric cancer treatment guidelines, 28.9% of the elderly patients, 5.3% of the middle-aged patients, and 0% of the young patients did not satisfy the criteria for lymph node dissection. The incidences of postoperative complications were 25.6%, 23.0%, and 13.4% in the elderly, middle-aged, and young patients, respectively, with a higher tendency seen in elderly patients. In elderly patients, the survival rate was examined separately for each postoperative complication, but no significant difference was noted. Additionally, the survival rate was assessed for the limited surgery and standard surgery groups; however, no significant difference was noted. Therefore, it is recommended that the optimal lymph node dissection range be determined in the elderly with respect to the general condition.
要旨
今回われわれは,高齢者胃癌手術の術後合併症の発生と縮小手術の予後に与える影響を検討した。対象は胃癌手術症例805例で,高齢者,中年者,若年者に分け検討した。胃癌治療ガイドラインに沿ったリンパ節郭清に満たなかった症例が高齢者28.9%,中年者5.3%,若年者0%で,高齢者では縮小手術を行う傾向を認めた。術後合併症発生率は高齢者25.6%,中年者23.0%,若年者13.4%であり,高齢者で高い傾向を認めた。高齢者で,術後合併症の有無で生存率を検討したが差はなかった。縮小手術群と定型手術群に分け生存率を検討したが差はなかった。高齢者では,全身状態を考慮した上で至適リンパ節郭清範囲を定めるべきだと思われた。
目次
We examined the occurrence of complications following gastric cancer surgery in the elderly and its influence on the prognosis of reduction surgery. The study included 805 surgical cases of gastric cancer; elderly, middle-aged, and young patients were examined. In the elderly patients, there was a tendency to undergo reduction surgery. According to the gastric cancer treatment guidelines, 28.9% of the elderly patients, 5.3% of the middle-aged patients, and 0% of the young patients did not satisfy the criteria for lymph node dissection. The incidences of postoperative complications were 25.6%, 23.0%, and 13.4% in the elderly, middle-aged, and young patients, respectively, with a higher tendency seen in elderly patients. In elderly patients, the survival rate was examined separately for each postoperative complication, but no significant difference was noted. Additionally, the survival rate was assessed for the limited surgery and standard surgery groups; however, no significant difference was noted. Therefore, it is recommended that the optimal lymph node dissection range be determined in the elderly with respect to the general condition.
要旨
今回われわれは,高齢者胃癌手術の術後合併症の発生と縮小手術の予後に与える影響を検討した。対象は胃癌手術症例805例で,高齢者,中年者,若年者に分け検討した。胃癌治療ガイドラインに沿ったリンパ節郭清に満たなかった症例が高齢者28.9%,中年者5.3%,若年者0%で,高齢者では縮小手術を行う傾向を認めた。術後合併症発生率は高齢者25.6%,中年者23.0%,若年者13.4%であり,高齢者で高い傾向を認めた。高齢者で,術後合併症の有無で生存率を検討したが差はなかった。縮小手術群と定型手術群に分け生存率を検討したが差はなかった。高齢者では,全身状態を考慮した上で至適リンパ節郭清範囲を定めるべきだと思われた。