Efficacy of totally laparoscopic distal gastrectomy for gastric cancer in elderly patients

  • Authors:
    • Keita Kouzu
    • Hironori Tsujimoto
    • Shuichi Hiraki
    • Hiroyuki Horiguchi
    • Shinsuke Nomura
    • Nozomi Ito
    • Kyohei Kanematsu
    • Kenji Yamazaki
    • Suefumi Aosasa
    • Junji Yamamoto
    • Kazuo Hase
  • View Affiliations

  • Published online on: March 31, 2016     https://doi.org/10.3892/mco.2016.843
  • Pages: 976-982
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Abstract

Elderly patients are often considered as high‑risk for major abdominal surgery due to reduced functional reserve and increased comorbidities. We herein evaluated the efficacy of totally laparoscopic distal gastrectomy (TLDG) in elderly patients with gastric cancer by measuring the postoperative systemic responses and postoperative analgesic consumption. A total of 102 patients with gastric cancer [57 who underwent TLDG and 45 who underwent laparoscopy‑assisted distal gastrectomy (LADG)] were enrolled in this study. The patients were classified as elderly (aged ≥75 years) and non‑elderly (aged <75 years) groups. the surgical outcome and postoperative analgesic consumption were evaluated. The elderly group exhibited a higher incidence of comorbidities and a longer postoperative hospital stay compared with those of younger patients, although there was no difference in the incidence of postoperative complications. In addition, the total consumption of additional analgesics until postoperative day 5 in patients who underwent TLDG was significantly lower compared with that in patients who underwent LADG in the elderly group; there was no such difference in the non‑elderly group. The results suggested that TLDG was better for the management of postoperative pain in elderly patients with gastric cancer, who exhibit the highest mortality rates in the adult surgical population.
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June 2016
Volume 4 Issue 6

Print ISSN: 2049-9450
Online ISSN:2049-9469

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APA
Kouzu, K., Tsujimoto, H., Hiraki, S., Horiguchi, H., Nomura, S., Ito, N. ... Hase, K. (2016). Efficacy of totally laparoscopic distal gastrectomy for gastric cancer in elderly patients. Molecular and Clinical Oncology, 4, 976-982. https://doi.org/10.3892/mco.2016.843
MLA
Kouzu, K., Tsujimoto, H., Hiraki, S., Horiguchi, H., Nomura, S., Ito, N., Kanematsu, K., Yamazaki, K., Aosasa, S., Yamamoto, J., Hase, K."Efficacy of totally laparoscopic distal gastrectomy for gastric cancer in elderly patients". Molecular and Clinical Oncology 4.6 (2016): 976-982.
Chicago
Kouzu, K., Tsujimoto, H., Hiraki, S., Horiguchi, H., Nomura, S., Ito, N., Kanematsu, K., Yamazaki, K., Aosasa, S., Yamamoto, J., Hase, K."Efficacy of totally laparoscopic distal gastrectomy for gastric cancer in elderly patients". Molecular and Clinical Oncology 4, no. 6 (2016): 976-982. https://doi.org/10.3892/mco.2016.843