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[Gastrectomy in the aged].

R Bittner, M Butters, H Schirrow

    Langenbecks Archiv Fur Chirurgie
    |January 1, 1984
    PubMed
    Summary
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    Total gastrectomy lethality decreased significantly due to standardized surgical techniques and improved patient care. Elderly patients and those with advanced cancer (TNM IV) showed comparable survival rates, but splenectomy negatively impacted prognosis.

    Area of Science:

    • Oncology
    • Surgical Gastroenterology
    • Geriatric Medicine

    Context:

    • Total gastrectomy is a major surgical procedure for gastric cancer.
    • Patient outcomes can vary significantly based on age, tumor stage, and surgical approach.
    • Historical data from 1969-1983 provides a basis for evaluating trends in surgical outcomes.

    Purpose:

    • To analyze surgical lethality and survival rates following total gastrectomy.
    • To compare outcomes between elderly (>70 years) and younger patients.
    • To assess the impact of splenectomy on prognosis in total gastrectomy patients.

    Summary:

    • A total of 152 patients underwent total gastrectomy between 1969 and 1983.
    • Surgical lethality decreased over time, attributed to standardized techniques and improved care.

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  • Five-year survival was 17.3%, with no significant difference between age groups. Splenectomy correlated with a worse prognosis.

    • Impact:

    • Demonstrates a significant reduction in total gastrectomy lethality over a 14-year period.
    • Highlights the importance of surgical standardization and perioperative care.
    • Suggests a critical re-evaluation of splenectomy indications during total gastrectomy due to adverse prognostic implications.