[Benefits of Laparoscopic Gastrectomy for Elderly Patients: Masato Mitsuda].

Q4 Medicine
Daiki Matsubara, Daiki Matsubara, Mizuki Tamai, Fumiaki Ochi, Tomoya Hatakeyama, Tatsuya Kumano, Yoshiki Itokawa
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引用次数: 0

Abstract

Objective: To evaluate the outcomes of laparoscopic gastrectomy for gastric cancer in elderly patients.

Methods: We evaluated the short-term outcomes of open and laparoscopic gastrectomy procedures performed in 89 patients with gastric cancer(≥80 years: n=13, <80 years: n=76)between September 2013 and March 2023.

Results: There were no significant differences in patient background, surgical technique, surgical approach, pathology, or short-term outcomes. Preoperative nutritional status(PNI and GNRI)was significantly lower in the elderly group. Laparoscopic surgery was associated with a longer operative time, lower blood loss, and shorter postoperative hospital stay than open surgery. There was no difference in the rates of CD Grade 3+ complications between open and laparoscopic surgery in patients aged <80 years, while laparoscopic surgery was associated with significantly lower complication rates in patients aged ≥80 years. Considering that patients in the open surgery group were more likely to have advanced cancer, we performed a risk factor analysis for CD Grade 3+ complications in patients >80 years of age, and demonstrated that the surgical approach and operative time were significantly associated with the risk of complications.

Conclusion: The results suggest that laparoscopic surgery may reduce complication rates in elderly patients.

腹腔镜胃切除术对老年患者的益处:Masato Mitsuda。
目的:评价老年胃癌患者行腹腔镜胃切除术的疗效。方法:我们对89例≥80岁的胃癌患者(n=13)行开放和腹腔镜胃切除术的短期结果进行了评估。结果:患者背景、手术技术、手术入路、病理或短期结果无显著差异。老年组术前营养状况(PNI和GNRI)明显降低。与开放手术相比,腹腔镜手术的手术时间更长,出血量更少,术后住院时间更短。80岁高龄患者开放手术与腹腔镜手术CD 3+级并发症发生率无差异,表明手术入路和手术时间与并发症发生风险显著相关。结论:腹腔镜手术可降低老年患者的并发症发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.20
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