腹腔镜检查
普通外科
外科
腹腔镜手术
胃
淋巴结
围手术期
作者
Nobuhiro Tsuchiya,Chikara Kunisaki,Hirochika Makino,Jun Kimura,Ryo Takagawa,Sho Sato,Yusaku Tanaka,Kei Sato,Hiroshi Miyamoto,Takashi Kosaka,Hirotoshi Akiyama,Itaru Endo,Kentaro Sakamaki,Takeharu Yamanaka
出处
期刊:Surgical Laparoscopy Endoscopy & Percutaneous Techniques
日期:2018-04-01
卷期号:28 (2): 102-107
被引量:5
标识
DOI:10.1097/sle.0000000000000520
摘要
Purpose The present study evaluated the safety and effectiveness of laparoscopic gastrectomy (LG) in elderly gastric cancer patients. Patients and methods This study included 78 gastric cancer patients aged 80 years or above [39 in the LG group and 39 in the open gastrectomy group (matched)]. Patient characteristics, surgical outcomes, survival time, and immunonutritional status were compared. Results Mean blood loss was significantly lower in the LG group, although the operation time did not differ. There were no significant differences in the number of dissected lymph nodes, postoperative morbidity, mortality, total hospital stay, and the causes of death. The prognostic nutritional index and skeletal muscle index at 1 year were better maintained in the LG group than in the open gastrectomy group. The overall and relapse-free survivals did not differ. Conclusions LG may be feasible in elderly patients with gastric cancer. A prospective randomized controlled trial should be conducted to confirm its efficacy.
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