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Related Experiment Video

Updated: Jun 29, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Surgical options and survival prognosis in geriatric patients beyond average lifespan with locally advanced gastric

Zhen Tian1,2, Mingyu Xia3, Yifan Cheng1,2

  • 1Northern Jiangsu People's Hospital, Clinical Teaching Hospital of Medical School, Nanjing University, Yangzhou, China.

Surgical Endoscopy
|April 4, 2024
PubMed
Summary

Laparoscopic gastrectomy (LG) shows comparable or better safety than open gastrectomy (OG) for elderly patients with advanced gastric cancer. Experienced surgeons performing LG offer benefits for super-geriatric patients with locally advanced gastric cancer.

Keywords:
Gastric cancerGeriatricLaparoscopic surgeryPrognosis

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Area of Science:

  • Surgical Oncology
  • Geriatric Medicine
  • Gastroenterology

Background:

  • Laparoscopic gastrectomy (LG) appropriateness for super-geriatric patients with locally advanced gastric cancer (LAGC) remains unclear.
  • Prognostic factors for this patient group require further elucidation.

Purpose of the Study:

  • To compare surgical and oncological outcomes of LG versus open gastrectomy (OG) in geriatric patients (≥78 years) with LAGC.
  • To identify prognostic factors influencing long-term survival in this population.

Main Methods:

  • A monocentric, retrospective, comparative study utilizing 1:1 propensity score matching (PSM).
  • Primary endpoint: 3-year overall survival. Secondary endpoints: procedure-related variables, postoperative recovery, and complications.
  • Univariate and multivariate Cox regression analyses were used to identify prognostic factors.

Main Results:

  • Post-PSM, 61 matched pairs (median age 82 years) were analyzed.
  • LG group showed lower complication rates (31.1% vs. 49.2%), shorter hospital stay, and less blood loss than OG group.
  • No significant difference in 3-year overall survival between LG and OG groups. Age-adjusted Charlson Comorbidity Index >6 and TNM stage III were unfavorable prognostic factors.

Conclusions:

  • Laparoscopic gastrectomy (LG) by experienced surgeons provides comparable or superior safety profiles to open gastrectomy (OG) for super-geriatric patients with LAGC.
  • LG offers potential benefits in terms of reduced complications and faster recovery for this elderly demographic.