Laparoscopy-Assisted Distal Gastrectomy with Systemic Lymphadenectomy for Early Gastric Cancer in Elderly Patients.
- Author:
Young Hoon ROH
1
;
Min Chan KIM
;
Hong Jo CHOI
;
Young Hun KIM
;
Se Heon CHO
;
Ghap Joong JUNG
Author Information
1. Department of Surgery, Dong-A University College of Medicine, Busan, Korea. mckim@donga.ac.kr
- Publication Type:Original Article
- Keywords:
Laparoscopic gastrectomy;
Early gastric cancer;
Complications;
Elderly
- MeSH:
Academic Medical Centers;
Aged*;
Flatulence;
Gastrectomy*;
Humans;
Length of Stay;
Lymph Node Excision*;
Mortality;
Postoperative Complications;
Postoperative Period;
Stomach Neoplasms*
- From:Journal of the Korean Surgical Society
2005;69(4):299-303
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We evaluated the validity of laparoscopy-assisted distal gastrectomy (LADG) with systemic lymphadenectomy for early gastric cancer in elderly patients compared with younger patients. METHODS: Seventeen elderly patients (aged 70 years or more) and 113 younger patients who underwent LADG for early gastric cancer between May 1998 and July 2004, at the department of Surgery, Dong-A University Medical Center, were studied. Postoperative outcomes were compared. RESULTS: In elderly patients, co-morbidity was more common than in younger ones (P=0.0220) and postoperative complication rate was more common, too (P=0.0480). Operation time (P=0.7301), time to first flatus (P=0.4766), postoperative hospital stay (P=0.4860), mortality (P=0.2453), were similar in these two groups. CONCLUSION: Because LADG with systemic lymphadenectomy in elderly patients has more co-morbidity and complications than younger ones, great cares should be given to treat co-morbidity preoperatively and prevent complications during operation and postoperative period in elderly patients.
