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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

Does age matter in the indication for laparoscopy-assisted gastrectomy?

Masanori Tokunaga¹, Naoki Hiki, Tetsu Fukunaga

¹Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract

|July 4, 2008

Summary

Laparoscopy-assisted gastrectomy (LAG) is safe and feasible for elderly patients. Careful patient selection ensures comparable outcomes to younger individuals, despite higher preoperative morbidities in older groups.

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Area of Science:

Surgical Oncology
Gastroenterology
Geriatric Medicine

Background:

Laparoscopy-assisted gastrectomy (LAG) is increasingly utilized in Japan.
The applicability of LAG in elderly patients with comorbidities is not well-defined.

Purpose of the Study:

To evaluate the feasibility and safety of LAG in elderly patients (≥75 years) compared to younger patients (<75 years).
To compare early surgical outcomes between elderly and younger patient groups undergoing LAG.

Main Methods:

Retrospective study of 289 patients undergoing LAG.
Comparison of early surgical outcomes between 49 elderly patients (E-LAG group) and 240 younger patients (Y-LAG group).

Main Results:

The E-LAG group exhibited higher preoperative morbidities but similar intraoperative and postoperative complication rates (9% vs 11%) compared to the Y-LAG group.
The E-LAG group had a shorter operation time and fewer retrieved lymph nodes, with no significant differences in other early surgical outcomes.

Conclusions:

Laparoscopy-assisted gastrectomy (LAG) is a feasible and safe surgical option for carefully selected elderly patients.
Elderly patients can achieve comparable early surgical outcomes to younger patients when undergoing LAG with appropriate patient selection.