|
Shunji Endo
Department Kawasaki Medical School Kawasaki Medical School, Department of Digestive Surgery, Position Associate Professor |
|
| Article types | その他 |
| Language | English |
| Peer review | Non peer reviewed |
| Title | The comparison of prognoses between total and distal gastrectomy for gastric cancer in elderly patients ≥ 80 years old. |
| Journal | Formal name：Surgery today Abbreviation：Surg Today ISSN code：14362813/09411291 |
| Volume, Issue, Page | 53(5),pp.569-577 |
| Author and coauthor | Shunji Endo, Tomoki Yamatsuji, Yoshinori Fujiwara, Masaharu Higashida, Hisako Kubota, Hironori Tanaka, Yoshitomo Ito, Toshimasa Okada, Kazuhiko Yoshiatsu, Tomio Ueno |
| Publication date | 2023/05 |
| Summary | PURPOSE:In Japan, the number of distal gastrectomy for patients ≥ 80 years old is increasing, whereas that of total gastrectomy is decreasing. Surgeons seem to avoid total gastrectomy for elderly patients. Total gastrectomy is reported to have a poorer prognosis than distal gastrectomy, and postoperative pneumonia may be involved in the cause.METHODS:The medical records of 39 and 108 patients ≥ 80 years old who underwent total and distal gastrectomy, respectively, at 2 affiliated institutions between 2010 and 2019 were retrospectively reviewed. Prognoses were compared between the two groups, focusing on death from pneumonia.RESULTS:The median overall survival time after total and distal gastrectomy was 21.3 and 74.1 months, respectively, with a significantly poorer prognosis after total gastrectomy than after distal gastrectomy (p < 0.01, hazard ratio [HR] 2.20, 95% confidence interval [CI] 1.37-3.53). The gastric cancer-specific survival time was significantly worse after total gastrectomy than after distal gastrectomy (p < 0.01, HR 2.73, 95% CI 1.29-5.79). The pneumonia-specific survival time was also significantly worse after total gastrectomy than after distal gastrectomy (p = 0.01, HR 3.44, 95% CI 1.25-9.48).CONCLUSIONS:Patients who underwent total gastrectomy had a poorer prognosis than those who underwent distal gastrectomy, because many patients died of pneumonia early after total gastrectomy. |
| DOI | 10.1007/s00595-022-02599-0 |
| PMID | 36418575 |