The influence of age on resection rates and postoperative mortality in 2773 patients with gastric cancer.
The influence of age on resection rates and postoperative mortality in 2773 patients with gastric cancer.
复制标题
年龄对2773例胃癌患者手术切除率和术后死亡率的影响。
DOI：
10.1016/0959-8049(95)00075-5
复制
发表时间：
1995
影响因子：
8.4
通讯作者：
H. Tilanus
中科院分区：
文献类型：
--
作者：
R. Damhuis;H. Tilanus
对1982年至1992年在荷兰西南部地区确诊的胃癌患者的切除率和术后死亡率进行了研究。总体而言，51%的患者接受了切除。年龄在0~59岁、60~69岁、70~79岁和80岁及以上的患者，手术切除率分别为55、54和35%。位于心脏的肿瘤比胃窦肿瘤更少被切除，分别为39%和71%。术后死亡率8.3%，男性9.2%，女性6.7%。70岁以后手术风险显著增加；70岁以下患者手术风险为3.4%，而70岁以上患者手术风险为12.4%。这些结果表明，老年患者可以在可接受的风险下进行手术，可以考虑姑息性切除，特别是在70岁以下的患者。
Resection rates and postoperative mortality rates were studied in patients with gastric cancer, diagnosed from 1982 until 1992 in the southwestern area of the Netherlands. Overall, 51% of the patients underwent resection. For patients aged 0–59, 60–69, 70–79 and 80 years and over, resection rates were 64, 55, 54 and 35%, respectively. Tumours located in the cardia were less often resected than tumours of the antrum, 39 versus 71%. The postoperative mortality after resectional operations was 8.3%; 9.2% for men and 6.7% for women. The operative risk increased markedly after the age of 70 years; for patients under 70 years of age, the rate was 3.4% compared with 12.4% for those aged 70 years and older. These results indicate that elderly patients can be operated on at an acceptable risk, and that palliative resections may be considered, especially in patients younger than 70 years.