J.Jpn. Surg. Soc.. 83(9): 1085-1089, 1982

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Report on the annual meeting

EVALUATION OF SURGICAL TREATMENT FOR GASTRIC CANCER IN THE AGED VIEWED FROM LOCATION OF CANCER AND EXTENT OF RESECTION

In the operation for gastric cancer in the aged, it is a problem to decide the extent of resection, because the patients always have hypofunction of many organs caused by aging. The operative results and operative findings were studied to clarify this problem.
Excluding the cases of multiple gastric cancers and double primary cancers, 85 cases of gastric cancer in the aged over 70 years old and 377 cases of gastric cancer under 69 years old resected from 1969 to 1981 in our institute were investigated clinically and clinicopathologically.
The late operative results and direct operative results in cases of upper portion carcinoma, especially in cases undergone total gastrectomy, were both extremely poor comparing with middle or lower portion carcinoma. But, in cases of upper portion carcinoma the cancer stage was lower and the rate of curative resection was higher than those of middle or lower portion carcinoma. And following conclusions were obtained from these results.
The surgical treatment for upper portion carcinoma of the stomach in the aged have many problems, and its cause is due to general conditions of patients rather than cancer stage. For this reason, surgery should be restricted within necessary limits, that is, limited lymph node removal or avoiding the combined resection in total gastrectomy for upper portion carcinoma of the stomach in the aged.

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