Surgical Treatment for Gastric Cancer in Aged Patients -Comparison between Patients Over and Under 80 Years of Age-

Hiroshi Minato, Kiyoshi Sawai, Miyakatsu Ohara, Hirokazu Yada, Tsuguo Fujioka, Tsuguo Sakakibara, Masataka Shimotsuma, Hiroki Taniguchi, Akeo Hagiwara, Toshiharu Yamaguchi, Toshio Takahashi

First Department of Surgery, Kyoto Prefectural University of Medicine

Three hundred fifty-eight gastric cancer patients over 64 years old who underwent gastrectomy were classified into three groups according to age. Group A was 65 to 74 years of age (n=244), group B was 75to79 yearsof age(n=74) andgroup C was 80 years of ageorolder(n=40). Asageneralrule,combined resection was not performed and modified radical dissection (D1) was performed in group C. The results were as follows: The mean operative time was 234 minutes in group A, 193 minutes in group B and 193 minutes in group C. The differences among these three groups were significant. Mean intraoperative blood loss was 672 g, 5 17 g and 327 g, respectively. The differences between group A versus group C and group B versus group C were significant. Mortality rates in the groups were 2.5%, 2.7% and 5.0%, respectively, and the differences were not significant. The incidence of postoperative complications was about the same. The cumulative 5-year survival rates in the groups were 58.7%, 47.9% and 31.1%, respectively. The difference between group A and group C was significant. And also when operative death and death due to other disease were excluded, the 5-year survival rate was higher in group A than in group B and higher in group B than in group C. However, the differences in survival among those three groups were not significant. We concluded that limited surgery is performed for patients with gastric cancer in aged 80 and over, postoperative compilations can be controlled same as those in aged under 80, while the survival would be lower in aged 80 and over than in aged under 80.

Key words
surgical treatment for gastric cancer, aged 80 or older, gastric cancer in aged patients

Reprint requests
Hiroshi Minato First Department of Surgery, Kyoto Prefectural University of Medicine
Kawaramachi Hirokoji Kamigyoku, Kyoto, 602 JAPAN

Accepted
January 11, 1995

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