山口医学

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山口医学 Volume 47 Issue 6
published_at 1998-12

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

80歳以上の高齢者胃癌に対する根治術の意義と妥当性
Orita Masahiko
Nojima Shinji
Kobayashi Tetsuro
Toshimi Mutsuo
Okamura Keiji
Iguchi Tomohiro
Hayashi Daisuke
Fujii Masakazu
Morita Nobuyoshi
Esato Kensuke
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B030047000603.pdf
Descriptions
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.
Creator Keywords
高齢者
胃癌根治術
予後
QOL
根治度