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Toshimi Takaaki

Affiliate Master Yamaguchi University

The Significance and Propriety of Gastrectomy as Radical Treatment for Aged Patients Over 80 Years Old with Gastric Cancer

山口医学 Volume 47 Issue 6 Page 191-196
published_at 1998-12
B030047000603.pdf
[fulltext] 2.96 MB
Title
80歳以上の高齢者胃癌に対する根治術の意義と妥当性
The Significance and Propriety of Gastrectomy as Radical Treatment for Aged Patients Over 80 Years Old with Gastric Cancer
Creators Orita Masahiko
Creators Nojima Shinji
Creators Enoki Tadahiko
Creators Kobayashi Tetsuro
Creators Toshimi Mutsuo
Creators Okamura Keiji
Creators Iguchi Tomohiro
Creators Hayashi Daisuke
Creators Fujii Masakazu
Creators Toshimi Takaaki
Creators Morita Nobuyoshi
Creators Esato Kensuke
Source Identifiers
Creator Keywords
高齢者 胃癌根治術 予後 QOL 根治度
The purpose of the study was to clarify the significance and propriety of radical gastrectomy for elderly patients with gastric cancer. Twenty-two patients over 80 years old were divided into two groups: curative group (curability A & B, n=17) and non-curative group (curability C, n=5), and comparatively studied for perioperative factors, clinicopathological findings, postoperative course and prognosis. The propriety of radical gastrectomy for elderly patients was confirmed because favorable one-year and 5-year survival rates of 94.1% and 66.9% respectively were attained in the curative group. Moreover, early postoperative course in the curative group was uneventful and they had kept high quality of life for a long period though they received severe operative procedures compared with non-curative group. The clinical significance of radical treatment was consequently demonstrated. In conclusion, curative resection with curability A or B is recommended even for the elderly patient if his or her general condition allows, under consideration of determinant prognostic factors which are surely able to prospect preoperatively.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1998-12
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部