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

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.

[ISSN]0513-1731

[NCID]AN00243156