Masaaki Nishi, Mitsuo Shimada, Kozo Yoshikawa, Jun Higashijima, Takuya Tokunaga, Chie Takasu, Hideya Kashihara, Daichi Ishikawa, Toshiaki Yoshimoto, Atsushi Takata. Department of Surgery, Tokushima University
Background: With advancement of aging society, surgical cases for elderly patients are now increasing. The aim of this study was to evaluate the feasibility of laparoscopic gastrectomy (LG) for gastric cancer (GC) in the patients aged 80 years or more.
Method: 324 patent who underwent LG were enrolled in this study. Super-elderly patients were defined as those aged 80 years or more :super-elderly group (n=24), non-super-elderly group (n=300). Clinicopathological data and surgical outcomes after LG were compared between super-elderly and non-super-elderly groups. Our surgical indication for was defined as Fev1.0% ?40% or EF ?40%.
Results: In all 324 patients, 24 patients had postoperative stasis, 12 patients had pancreatic fistula, 9 patients had respiratory complication, 6 patients had leakage. Patients with steroid use or cardiac co-morbidity had tended to have postoperative complications. Surgical data and the prevalence of postoperative complications did not differ significantly between the two groups. No mortality was observed in the super-elderly and non-super-elderly group. Six patients of not indicated LG due to severe co-morbidity (Fev1.0% ?40% or EF ?40%) underwent open surgery, and had no postoperative complications. Eight patients underwent limited operation (D2→D1, D1+→D1), and had no cancer related death.
Conclusion: Laparoscopic gastrectomy for GC in elderly patients was a feasible option even in super elderly patients aged 80 years or older with accurate selection.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80058
Program Number: P388
Presentation Session: Poster (Non CME)
Presentation Type: Poster
