J.Jpn. Surg. Soc.. 83(9): 1094-1098, 1982
Report on the annual meeting
OPERATIVE MORTALITY AND COMPLICATION IN THE AGED PATIENTS WITH GASTRIC CANCER
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Second Department of Surgery, Tokyo Jikei University School of Medicine, Tokyo, Japan Nobuhiro Takahashi, Katsuya Hirai, Hitoshi Hisatomi, Hideaki Chiba, Akio Otsuka, Masahito Takahashi, Nobuo Kato, Akira Kimura, Shigeji Yamaguchi, Yoshiyuki Ishii, Shinobu Yoshida, Fusahiro Nagao |
1) Postoperative complication occurred with the same percentage in both resected cases and not resected cases. High mortality rate was observed in patients with non curative resection and not resected cases. Duration of operation and blood loss in cases of operative death were less compared with the survived. Therefore, potential poor physical state caused by aging and cancer bearing state should influence the prognosis of surgery and operative indication should be decided carefully.
2) Most common causes of operative death in the aged were anastomotic leakage, pulmonary and cardiovascular complication in resected cases and pulmonary one in not resected cases. So, gentle handling of tissue are essential and postoperative treatment must be of best quality.
3) It seems to be difficult to foresee operative death before surgery from the evaluation of preoperative medical check.
4) There were more advanced cancer in the aged patients than younger, but the extent of lymphnodes metastasis was limited to group 2. Therefore, when curative resection is possible, R-2 lymphnodes dissection should be desirable.
5) Five year survival rate in the aged patients with curative resection was 44%.
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