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Total gastrectomy in the elderly patient.

E Svartholm¹, S A Larsson, U Haglund

¹Department of Surgery, Lund University, Malmö General Hospital, Sweden.

Acta Chirurgica Scandinavica

|November 1, 1987

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Total gastrectomy is a safe procedure for gastric cancer, even in elderly patients. This study found similar postoperative mortality and morbidity in older versus younger individuals undergoing this major surgery.

Area of Science:

Surgical Oncology
Geriatric Surgery
Gastroenterology

Background:

Gastric malignancy poses a significant health concern.
Total gastrectomy is a primary surgical intervention for gastric cancer.
Assessing the safety and outcomes in elderly patients is crucial.

Purpose of the Study:

To evaluate postoperative morbidity and mortality in patients undergoing total gastrectomy for gastric cancer.
To compare outcomes between elderly (≥70 years) and younger patient cohorts.

Main Methods:

A consecutive series of 72 patients undergoing total gastrectomy for primary gastric malignancy were analyzed.
Patients were stratified into two groups: ≥70 years (n=32) and <70 years (n=40).
Postoperative complications, mortality, and hospital stay were recorded and compared.

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Main Results:

Overall surgical mortality was low (6.3% in older vs. 5% in younger patients).
Major complications occurred in 12 patients, with 7 requiring reoperation.
Median hospital stay was comparable (15 days for older vs. 14 days for younger patients).
Two-year survival was approximately 50% in both age groups.

Conclusions:

Total gastrectomy is a viable and relatively safe surgical option for primary gastric malignancy, including in elderly patients.
Age alone should not be a contraindication for this procedure.
Outcomes suggest that elderly patients tolerate total gastrectomy with acceptable morbidity and mortality.