کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4299708 1288399 2015 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Postoperative complications in elderly patients with gastric cancer
ترجمه فارسی عنوان
عوارض بعد از جراحی در سالمندان مبتلا به سرطان معده
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundElderly patients undergoing gastrectomy are expected to be at high risk of postoperative complications. This retrospective multicenter cohort study assessed complications and long-term outcomes after gastrectomy for gastric cancer (GC).MethodsA total of 993 patients with GC who had undergone gastrectomy were included, comprising 186 elderly patients (age ≥ 80 y, E group) and 807 nonelderly patients (age ≤ 79 y, NE group). Preoperative comorbidities, operative results, postoperative complications, and clinical outcomes were compared between the groups.ResultsClavien-Dindo grade ≥1 postoperative complications, pneumonia (P = 0.02), delirium (P < 0.001), and urinary tract infection (P < 0.001) were more common in the E group. Postoperative pneumonia was associated with mortality in this group (P < 0.001). Three patients (1.6%) died after surgery, each of whom had pneumonia. Severe postoperative complication was independently prognostic of overall (hazard ratio, 4.69; 95% confidence interval, 2.40–9.14; P < 0.001) and disease-specific (hazard ratio, 6.41; 95% confidence interval 2.92–14.1; P < 0.001) survival in the E group.ConclusionsIn elderly patients with GC, clinical outcomes are strongly associated with severe postoperative complications. Preventing such complications may improve survival.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Surgical Research - Volume 198, Issue 2, October 2015, Pages 317–326
نویسندگان
, , , , , , , ,