• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
      • SAGES Robotics Residents and Fellows Courses
      • MIS Fellows Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Short–term outcomes of laparoscopy assisted gastrectomy in elderly patients. -Is it really safe in elderly patients?-

Short–term outcomes of laparoscopy assisted gastrectomy in elderly patients. -Is it really safe in elderly patients?-

Koetsu Inoue, MD, PhD1, Tatsuya Ueno, MD, PhD1, Kentaro Shima, MD, PhD1, Shinji Goto, MD, PhD1, Michinaga Takahashi, MD, PhD1, Takanori Morikawa, MD, PhD2, Takeshi Naitoh, MD, PhD2, Hiroo Naito, MD, PhD, FACS1. 1Departmnt of Surgery, South Miyagi Medical Center, 2Department of Surgery, Tohoku University Graduate School of Medicine

Background: As the population age becomes higher, laparoscopy assisted gastrectomy (LAG) is applied to elderly patients as well as young patients. Since laparoscopic surgery is reported to affect respiration and circulation, we should take indication of LAG for elderly patients into consideration carefully. Indication of LAG for elderly patients, however, is still controversial. The aim of this study is to assess the safety and validity of LAG for elderly patients.

Method: Medical records were retrospectively reviewed for 94 patients who underwent LAG for gastric cancer between 2009 and 2016. In this study, patients over 75 years of age were defined as elderly patients. Patients were divided into two groups according to age; group A (age ≥75, n=28), group B (age < 75, n=66). Preoperative characteristics and postoperative outcomes were analyzed. Two-tailed Student’s test and/or Pearson’s chi-square test were used for statistical analysis.

Results: There were no significant differences in male/female ratio and body mass index between two groups. Number of patients whose ASA physical status was ≥3, and/or performance status was ≥3 did not differ. Serum albumin level (4.04 vs 4.3 g/dl, p=0.0045) and hemoglobin (13.0 vs 14.1 g/dl, p=0.006) were significantly lower in group A. The type of procedures were as follows; distal gastrectomy (85.7 vs 75.8 %, p=0.281), total gastrectomy (14.3 vs 22.7 %, p=0.351), proximal gastrectomy (0 vs 1.5 %, p=0.246). Intra-operative blood loss, operating time, and number of harvested lymph nodes did not differ between the two groups. As for postoperative complications such as intra-abdominal abscess (7.4 vs 6.1%, p=0.844), anastomotic leakage (0 vs 3.0%, p=0.352), significant difference was not observed between the two groups. In addition, respiratory and cardiovascular complication was not observed in elderly patients. Incidence of Clavien-Dindo classification ≥ grade 3 (3.6 vs 3.0 %, p=0.891), and postoperative hospital stay (10.5 vs 10.0 days, p=0.985) did not differ.

Conclusion: Short-term outcomes of LAG in elderly patients were not different from those in young patients. These results suggest that LAG could be an alternative operation indicated for patients with comorbidities.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 85016

Program Number: P758

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

36

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon

Related



Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals