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Feasibility of Laparoscopy-assisted Gastrectomy for Gastric Cancer in Elderly Patients

A Case-Control Study

Tsuchiya, Nobuhiro MD*; Kunisaki, Chikara MD, PhD*; Makino, Hirochika MD, PhD*; Kimura, Jun MD, PhD*; Takagawa, Ryo MD, PhD*; Sato, Sho MD, PhD; Tanaka, Yusaku MD; Sato, Kei MD; Miyamoto, Hiroshi MD, PhD; Kosaka, Takashi MD, PhD; Akiyama, Hirotoshi MD, PhD; Endo, Itaru MD, PhD; Sakamaki, Kentaro PhD; Yamanaka, Takeharu PhD

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: April 2018 - Volume 28 - Issue 2 - p 102–107
doi: 10.1097/SLE.0000000000000520
Original Articles
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Purpose: The present study evaluated the safety and effectiveness of laparoscopic gastrectomy (LG) in elderly gastric cancer patients.

Patients and Methods: This study included 78 gastric cancer patients aged 80 years or above [39 in the LG group and 39 in the open gastrectomy group (matched)]. Patient characteristics, surgical outcomes, survival time, and immunonutritional status were compared.

Results: Mean blood loss was significantly lower in the LG group, although the operation time did not differ. There were no significant differences in the number of dissected lymph nodes, postoperative morbidity, mortality, total hospital stay, and the causes of death. The prognostic nutritional index and skeletal muscle index at 1 year were better maintained in the LG group than in the open gastrectomy group. The overall and relapse-free survivals did not differ.

Conclusions: LG may be feasible in elderly patients with gastric cancer. A prospective randomized controlled trial should be conducted to confirm its efficacy.

*Department of Surgery, Gastroenterological Center, Yokohama City University, Minami-ku

Departments of Gastroenterological Surgery

Clinical Statistics, Graduate School of Medicine, Yokohama City University, Yokohama, Kanazawa-ku, Yokohama, Japan

The authors declare no conflicts of interest.

Reprints: Chikara Kunisaki, MD, PhD, Department of Surgery, Gastroenterological Center, Yokohama City University, 4-57 Urafunecho, Minami-ku, Yokohama 232-0024, Japan (e-mail: s0714@med.yokohama-cu.ac.jp).

Received September 29, 2017

Accepted January 29, 2018

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