Prognostic Factors for Gastrectomy in Elderly Patients
Prognostic Factors for Gastrectomy in Elderly Patients
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DOI：
10.9738/intsurg-d-13-00016.1
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发表时间：
2014-03-01
影响因子：
0.1
通讯作者：
Kamiike, Wataru
中科院分区：
文献类型：
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作者：
Endo, Shunji;Yoshikawa, Yukinobu;Kamiike, Wataru
年龄>= 85岁的胃癌患者应慎重决定是否接受手术。我们回顾性分析了64例年龄≥ 85岁的胃癌根治性胃切除术患者的预后因素。回顾性分析各种临床特征和手术干预对生存率的影响。单因素分析显示，性别（男/女; P = 0.001）、胃切除范围（全胃/远端; P = 0.028）、淋巴结清扫范围（D2）、胃切除术后≥ 85年均显著差于女性，因为她们更可能死于肺炎。
The decision to undergo surgery for gastric cancer patients aged >= 85 years should be made carefully. We retrospectively reviewed the prognostic factors of gastrectomy for 64 patients aged >= 85 years who had undergone curative gastrectomy for gastric cancer. The effects of various clinical characteristics and surgical interventions on survival were retrospectively analyzed. Univariate analysis revealed that sex (male/female; P = 0.001), the extent of gastric resection (total/distal; P = 0.028), the extent of lymph node dissection (D2/= 85 years after gastrectomy were significantly worse than those of females, as they were more likely to die of pneumonia.