Inlfuence of age on perioperative clinical parameters, tumor resection effects and complications of patients with early stage gastric cancer for single lesion treated by ESD
10.3969/j.issn.1007-1989.2017.02.013
- VernacularTitle:年龄因素对行内镜黏膜下剥离术治疗早期单一病灶胃癌患者围手术期临床指标和肿瘤切除效果及并发症的影响
- Author:
Qingfa CHEN
;
Yan XU
;
Fangxi XUE
;
Xingtian CHEN
;
Ruiwu WANG
;
Fabin WANG
- Keywords:
age;
endoscopic submucosal dissection,ESD;
early gastric cancer;
clinical efifcacy;
safety
- From:
China Journal of Endoscopy
2017;23(2):53-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of age on perioperative clinical parameters, tumor resection effects and complications of patients with early stage gastric cancer for single lesion treated by ESD.Methods 60 patients with early stage gastric cancer for single lesion treated by ESD were chosen from January 2013 to July 2014 and divided into 2 groups including A group (35 patients) with < 60 years old and B group (25 patients) with ≥ 60 years old; and the operation time, intraoperative blood loss, hospital staying time, tumor curative resection and completed rate, the recurrence rate with follow-up and complications incidence of 2 groups were compared.Results All the patients were successfully performed the operation and no bleeding cases. There was no significant difference in the operation time, intraoperative blood loss, hospital staying time between 2 groups (P < 0.05). There was no significant difference in the tumor curative resection and completed rate between the 2 groups (P < 0.05). There was no significant difference in the recurrence rate with follow-up between 2 groups (P < 0.05). There was no signiifcant difference in the complications incidence between 2 groups (P < 0.05).Conclusion ESD is safe and feasible in the treatment of elderly patients with early stage gastric cancer for single lesion, and it is equivalent to short- and long-term efifcacy in non-elderly patients and not increase the operation time, the trauma degree and complications risk.
