Surgical Treatment for Gastric Cancer in Extremely Aged PatientsAtsushi Matsuki*, Atsushi Nashimoto, Hiroshi Yabusaki and Masaki Aizawa
Niigata Cancer Center Hospital, Niigata, Japan
- *Corresponding Author:
- Atsuhi Matsuki
Niigata Cancer Center Hospital,2-15-3 Kawagishichou
Chuou-ku, Niigata, 951-8566, Japan
E-mail: [email protected]
Received date: September 27, 2014; Accepted date: December 20, 2014; Published date: December 27, 2014
Citation: Matsuki A, Nashimoto A, Yabusaki H, Aizawa M (2015) Surgical Treatment for Gastric Cancer in Extremely Aged Patients. Aging Sci 3:131. doi: 10.4172/2329-8847.1000131
Copyright: © 2015 Matsuki A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objectives: Average human life expectancy is 82.6 years old in Japan. We report surgical treatment for extremely aged patients with gastric cancer.
Methods: Between 1991 and 2011, 5330 gastric cancer patients were underwent gastrectomy in our hospital, and 78 patients (1.5%) were over 85 years old. The clinic-pathological findings in these patients were investigated retrospectively and compared with those in 4494 patients under 75 years old.
Results: Median age was 86 (85-95) vs. 63 (19-75). The types of gastrectomy such as local/proximal/distal/total were 9/0/49/20 vs. 216/172/2983/1123. Preoperative morbidity rate was 73.1% vs. 23.2%. The ratio of extent nodal dissection was 30.8% vs. 53.5%. Postoperative morbidity/30-day mortality rate was 24.4%/1.3% vs. 15.3%/0.2%, especially pneumonia; brain infarction and urinary tract infection were more common in elderly group. Best supportive care is highly selected in case of recurrence in elderly group (66.7% vs. 11.9%). The overall 5-year survival rate of StageI/II/III/IV was 70.6/70.0/30.3/0% vs. 92.0/80.0/60.5/13.3%. The ratio of non-cancer death within 5 years after operation was 19.2% vs. 5.8%.
Conclusion: Although the postoperative complications and non-gastric cancer death are high ratio, cautious operative procedure contributes to a good results and prognosis even in the extremely aged patients.