Multicentre study of the safety of laparoscopic subtotal gastrectomy for gastric cancer in the elderly

Abstract

Although elderly patients had greater co-morbidity, laparoscopic gastrectomy was a safe treatment for gastric cancer in this age group.

Short- and long-term outcomes of laparoscopic gastrectomy in elderly patients with gastric cancer

“…Therefore, we believe that the difference in extent of gastrectomy between the two groups may have affected our results only minimally. A previous study reported that preoperative comorbidities increase postoperative complication rates of laparoscopic gastrectomy in the elderly [28]. Although pneumoperitoneum itself may affect operative morbidity and mortality, we have no evidence to support this speculation.…”

“…Several studies have shown that complication rates of laparoscopic gastrectomy were similar between elderly and young patients [24][25][26][27][28]. The overall and major complication rates after laparoscopic gastrectomy in the elderly were 11.5-20 and 1.3-4.0 %, respectively.…”

Evaluation of laparoscopic total gastrectomy for advanced gastric cancer: results of a comparison with laparoscopic distal gastrectomy

“…According to the literature, the impact of age on surgical outcomes of LG is controversial. Cho et al [31] found that, with advances in minimally invasive surgery,…”

Disadvantage of Operation Cost in Laparoscopy-Assisted Distal Gastrectomy under the National Health Insurance System in Japan

“…The reference documents retrieved by the key words ‘gastric, cancer, laparoscopic, surgery’ were 22 in PubMed with the following limits activated: Humans, Clinical Trial, Meta-Analysis, Randomized Controlled Trial, Review, English, Core clinical journals, published between January 2000 and December 2009 [2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23]. Data regarding the following factors were considered about the clinical benefit and quality of life: operation time, blood loss, hospitalization days, duration of fasting after operaton, number of excised lymph nodes, incidence of postoperative complication.…”