The impact of old age on surgical outcomes of totally laparoscopic gastrectomy for gastric cancer

Kim, Min; Kim, Hee Sung; Kim, Byung Sik; Kwon, Sung Joon

doi:10.1007/s00464-013-3073-6

Cited by 46 publications

(23 citation statements)

References 50 publications

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“…Reasons may be statistically significant younger age and less comorbidity in the RADG group. Younger people recover well and faster in general, which is mostly related to less postoperative complications [21][22][23][24][25]. That could be a more tentative factor than surgical method when we think our previous report that surgical stress-wise robot does not have any benefit [1].…”

Section: Discussionmentioning

confidence: 99%

Role of robot-assisted distal gastrectomy compared to laparoscopy-assisted distal gastrectomy in suprapancreatic nodal dissection for gastric cancer

Kim

Reim²,

Park³

et al. 2015

Surg Endosc

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Section: Discussionmentioning

confidence: 99%

Role of robot-assisted distal gastrectomy compared to laparoscopy-assisted distal gastrectomy in suprapancreatic nodal dissection for gastric cancer

Kim

Reim²,

Park³

et al. 2015

Surg Endosc

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“…26 Based on these reasons, some authors have suggested that limited surgery should be considered for this patient population to reduce operative mortality. 8,27,28 To date, many studies have demonstrated the benefits of laparoscopic gastrectomy, which include an improved cosmetic effect, less pain, quicker recovery, shorter hospital stay, and better quality of life. 29,30 When considering the trauma induced by surgery, laparoscopic surgery may be optimal for minimizing surgical trauma in elderly patients.…”

Section: Discussionmentioning

confidence: 99%

Short- and Long-Term Outcomes After Laparoscopic Versus Open Total Gastrectomy for Elderly Gastric Cancer Patients: a Propensity Score-Matched Analysis

Lü

Huang

Zheng

et al. 2015

Journal of Gastrointestinal Surgery

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Background: Few studies have been designed to evaluate the short-and long-term outcomes of laparoscopy-assisted total gastrectomy (LATG), and a retrospective study of a large patient cohort is valuable before conducting randomized controlled clinical trials. Results: Among all patients, age, tumor location, histologic type, pT stage, pN stage and pTNM stage significantly differed between the LATG group and OTG group. After the propensity score matching, the clinicopathological characteristics did not significantly differ between groups. The operation time, estimated blood loss, time to first flatus and the number of retrieved lymph nodes (P < 0.05) were better in the LATG group than the OTG group. Morbidity and mortality were lower in the LATG group than the OTG group (P < 0.05) for pre-matched patients. However, significant intergroup differences in morbidity were not identified after propensity matching. Although overall survival did not significantly differ between groups for the pre-matched patients, the 3-year cumulative survival rates were significantly lower in the LATG group (89.9%) than the OTG group (97.7%) for patients with stage I disease (P = 0.028). After propensity score matching, the analysis of the cumulative survival curve did not show a significant difference for any cancer stage. Materials and Methods: We prospectively collected data from 1096 patients who underwent total gastrectomy for gastric cancer. Propensity score matching was applied to compare the covariates between the LATG group and the open total gastrectomy (OTG) group. Operative outcomes and long-term outcomes were compared between the two groups. Conclusions: Implementation of LATG for gastric cancer is a safe, reliable and minimally invasive procedure with long-term outcomes similar to those of OTG. Further randomized controlled clinical trials can be conducted to provide valuable evidence of the safety and efficacy of LATG in treating gastric cancer.

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“…Reports have shown acceptable outcomes in terms of morbidity and mortality in patients older than 70 years of age undergoing gastrectomy for gastric cancer [19], pancreatectomy for pancreatic cancer [20], or liver metastasectomies [21]. …”

Section: Discussionmentioning

confidence: 99%

“…Other studies in the past have evaluated the safety, effectiveness, and feasibility of other major abdominal operations in the elderly, such as liver, pancreatic, gastric, and ovarian cancer surgery, showing a low mortality and acceptable morbidity with a careful patient selection process [19–22]. …”

Section: Discussionmentioning

confidence: 99%

Cytoreductive Surgery and HIPEC for Peritoneal Carcinomatosis in the Elderly

Spiliotis

Halkia

Boumis

et al. 2014

International Journal of Surgical Oncology

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Background. The combined treatment of peritoneal carcinomatosis with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy is a rigorous surgical treatment, most suitable for young and good performance status patients. We evaluated the outcomes of elderly patients undergoing CRS and HIPEC for peritoneal carcinomatosis with careful perioperative care. Methods. All consecutive patients 70 years of age or older who were treated for peritoneal carcinomatosis over the past five years were included. Primary outcomes were perioperative morbidity and mortality. Secondary outcomes were disease-free survival and overall survival. Results. From a pool of 100 patients, with a diagnosis of PC who underwent CRS and HIPEC in our center, we have included 30 patients at an age of 70 years or older and the results were compared to the patients younger than 70 years. The total morbidity rate was 50% versus 41.5% in the group younger than 70 years (NSS). The mortality rate was 3.3% in the elderly group versus 1.43% in the younger group (NSS). Median overall survival was 30 months in the older group versus 38 months in the younger group. Conclusion. Cytoreductive surgery and HIPEC for peritoneal carcinomatosis may be safely performed with acceptable morbidity in selected elderly patients.

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The impact of old age on surgical outcomes of totally laparoscopic gastrectomy for gastric cancer

Cited by 46 publications

References 50 publications

Role of robot-assisted distal gastrectomy compared to laparoscopy-assisted distal gastrectomy in suprapancreatic nodal dissection for gastric cancer

Role of robot-assisted distal gastrectomy compared to laparoscopy-assisted distal gastrectomy in suprapancreatic nodal dissection for gastric cancer

Short- and Long-Term Outcomes After Laparoscopic Versus Open Total Gastrectomy for Elderly Gastric Cancer Patients: a Propensity Score-Matched Analysis

Cytoreductive Surgery and HIPEC for Peritoneal Carcinomatosis in the Elderly

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