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Shunji Endo
Department Kawasaki Medical School Kawasaki Medical School, Department of Digestive Surgery, Position Associate Professor |
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| Article types | 原著 |
| Language | English |
| Peer review | Peer reviewed |
| Title | Prognostic factors for gastrectomy in elderly patients. |
| Journal | Formal name：International surgery Abbreviation：Int Surg ISSN code：25202456/00208868 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 99(2),pp.166-73 |
| Author and coauthor | Endo Shunji, Yoshikawa Yukinobu, Hatanaka Nobutaka, Dousei Tsutomu, Yamada Terumasa, Nishijima Junichi, Kamiike Wataru |
| Authorship | Lead author |
| Publication date | 2014/03 |
| Summary | 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 |