Authors: Lijun Zheng Liesheng Lu Xun Jiang Wei Jian Zhongchen Liu Donglei Zhou
Publish Date: 2015/12/29
Volume: 30, Issue: 9, Pages: 4069-4077
Abstract
With the current increased longevity in elderly population surgeons can expect to operate more frequently on elderly patients with both malignancies and comorbid medical conditions This study aimed to compare the surgical and early postoperative outcomes of laparoscopyassisted distal gastrectomy LADG with those of open distal gastrectomy ODG for gastric cancer in patients 70 years of age or olderRetrospective analysis based on a prospectively collected database of elderly patients who underwent laparoscopyassisted distal gastrectomy or ODG from February 2013 to January 2014 Preoperative patient baseline parameters surgical and oncological outcomes postoperative complications and pathologic results were analyzed in this reportDistal gastrectomy was performed for 50 patients with the age of 70 years or older using laparoscopic surgery for 23 patients LADG group and open surgery for 27 patients ODG group The mean age of LADG group was 766 years and ODG group 800 years The comparison between the two groups revealed statistically similar results regarding age gender BMI ASA class history of previous surgeries CCI and pathologic characteristics The LADG group was characterized by less intraoperative blood loss LADG group 100 mL vs ODG group 250 mL P 0001 less narcotic use LADG group 1 day vs ODG group 3 days P 0001 faster bowel function recovery time to first flatus LADG group 516 h vs ODG group 672 h P 0001 days to oral intake LADG group 61 days vs ODG group 79 days P = 0002 and shorter postoperative hospital stay LADG group 12 days vs ODG group 16 days P 0001 There was no significant difference in postoperative complication rate overall complication rate LADG group 217 vs ODG group 259 P = 0730 survival rate P = 0719 postoperative recurrence and metastasis rate between the patients who underwent LADG and ODG
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