エンドウ　シュンジ   Shunji Endo   遠藤　俊治    所属   川崎医科大学  医学部 臨床医学　消化器外科学    職種   准教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Prognostic factors for gastrectomy in elderly patients.
掲載誌名	正式名：International surgery 略　 称：Int Surg ISSNコード：25202456/00208868
掲載区分	国外
巻・号・頁	99(2),pp.166-73
著者・共著者	Endo Shunji, Yoshikawa Yukinobu, Hatanaka Nobutaka, Dousei Tsutomu, Yamada Terumasa, Nishijima Junichi, Kamiike Wataru
担当区分	筆頭著者
発行年月	2014/03
概要	The decision to undergo surgery for gastric cancer patients aged ≥85 years should be made carefully. We retrospectively reviewed the prognostic factors of gastrectomy for 64 patients aged ≥85 years who had undergone curative gastrectomy for gastric cancer. The effects of various clinical characteristics and surgical interventions on survival were retrospectively analyzed. Univariate analysis revealed that sex (male/female; P = 0.001), the extent of gastric resection (total/distal; P = 0.028), the extent of lymph node dissection (D2/<D2; P = 0.019), and blood loss (P = 0.005) were significant prognostic factors for overall survival. Multivariate analysis demonstrated that sex was the only independent prognostic factor. For pneumonia-specific survival, sex was also the only prognostic factor by multivariate analysis.Prognoses of males aged ≥85 years after gastrectomy were significantly worse than those of females, as they were more likely to die of pneumonia.
DOI	10.9738/INTSURG-D-13-00016.1
PMID	24670028