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Summary
Gastric cancer surgery in elderly patients (over 65) showed comparable morbidity and mortality to younger patients. Surgical resection is recommended for elderly individuals with gastric cancer, offering survival benefits.
Area of Science:
- Oncology
- Geriatric Surgery
- Gastrointestinal Surgery
Background:
- Gastric cancer presents unique challenges in elderly patients.
- Surgical intervention outcomes in this demographic require further investigation.
Purpose of the Study:
- To evaluate the safety and efficacy of surgical treatment for gastric cancer in patients over 65 years of age.
- To compare outcomes in elderly patients with those under 65.
Main Methods:
- Retrospective study of 22 patients (aged 69-90) who underwent surgery for gastric cancer between 1979-1982.
- Analysis of patient demographics, disease stage, surgical outcomes, complications, and survival rates.
Main Results:
- Twenty patients had gastric carcinoma; 11 showed regional spread.
- Mean hospital stay was 17.1 days (12.4 days without complications).
- Postoperative mortality was 9% (2/22); 33% (6/18) survived over 36 months, including some with advanced disease.
Conclusions:
- Gastric resection should not be withheld from elderly patients.
- Elderly patients experience similar morbidity and mortality from gastric cancer surgery as younger patients.