Artikel Jurnal :: Kembali

Artikel Jurnal :: Kembali

Surgical outcomes after gastrectomy in very elderly patients with gastric cancer

Makoto Hikage, Masanori Tokunaga, Rie Makuuchi, Tomoyuki Irino, Yukata Tanizawa, Etsuro Bando, Taiichi Kawamura, Masanori Terashima (Springer, 2018)

 Abstrak

ABSTRACT
Purpose: Whether or not gastrectomy is feasible for very elderly gastric cancer patients is unclear. This study aimed to clarify the feasibility and safety of surgical treatment for patients in this age group.
Method: The study included 55 very elderly patients with resectable gastric cancer who underwent gastrectomy (≥ 85 years of age; very-E group). The surgical outcomes were compared with those of 611 elderly patients (75-84 years old; E group).
Results: Female sex, a poor physical and performance status, and a low serum albumin level patients were more frequent in the very-E group than in the E group. Lymphadenectomy was less aggressive in the very-E group than in the E group (P < 0.001). The overall postoperative complication rate was not significantly different between the groups (46 vs 33%; P = 0.073). A multivariate analysis to predict the overall survival identified male sex (hazard ratio 1.75, 95% confidence interval 1.30-2.36), low body mass index (2.19, 1.52-3.16), poor performance status (2.14, 1.60-2.86), low serum albumin level (1.84, 1.37-2.48), and advanced tumor stage (1.71, 1.29-2.27) but not age (1.31, 0.84-2.03) as independent prognostic factors.
Conclusion: Chronological age alone is not a contraindicative factor for gastrectomy in very elderly patients.

 Metadata

Jenis Koleksi : Artikel Jurnal
No. Panggil : 617 SUT 48:8 (2018)
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Penerbitan : Tokyo: Springer, 2018
Sumber Pengatalogan : LibUI eng rda
ISSN : 09411291
Majalah/Jurnal : Surgery Today Official Journal of The Japan Surgical Society
Volume : Vol. 48 No. 8, August 2018: Hal. 773- 782
Tipe Konten : text
Tipe Media : unmediated (rda media)
Tipe Carrier : volume
Akses Elektronik : https://link.springer.com/article/10.1007/s00595-018-1651-x
Institusi Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lt 4, R. Koleksi Jurnal
  • Ketersediaan
  • Ulasan
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No. Panggil No. Barkod Ketersediaan
617 SUT 48:8 (2018) 03-19-861195395 TERSEDIA
Ulasan:
Tidak ada ulasan pada koleksi ini: 20496425
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