caa a22 4500 47580287X CHVBK 20180406123742.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s002689910074 doi (NATIONALLICENCE)springer-10.1007/s002689910074 Surgical Mortality, Survival, and Quality of Life after Resection for Gastric Cancer in the Elderly [Elektronische Daten] [Chew-Wun Wu, Su-Shun Lo, King-Han Shen, Mao-Chih Hsieh, Wing-Yiu Lui, Fang-Ku P'eng] Abstract.: Although there were some studies on clinicopathologic characteristics, operative morbidity, and mortality in elderly patients with gastric cancer, no reports have specifically focused on survival and quality of life after resection. A total of 433 patients aged ≥ 65 years (1987-1994) who underwent gastric resection for gastric adenocarcinoma were studied. Two groups were considered: patients aged 65 to 74 years and those > 74 years. Most of the patients (78.1%) had advanced diseases, and nearly half (41.3%) had associated chronic disease(s). Resections with curative intention were performed in 362 patients (83.6%). The overall operative morbidity rate was 21.7% and mortality rate 5.1%. Although operative procedures were similar in both groups, patients aged >74 years had a higher mortality rate than those aged 65 to 74 years (10.1% vs. 3.5%; p= 0.034). Age and extent of gastric resection were two independent factors negatively affecting mortality. The cumulative survival rates for patients who underwent curative resection were 86.2%, 72.4%, 67.2%, 62.9%, and 60.0% at 1, 2, 3, 4, and 5 years, respectively. Nearly all patients (96%) after surgery had normal work and daily activities. Some patients appeared to lack energy (16%) or experienced a period of anxiety or depression. There was no statistical difference in survival and quality of life assessed by the Spitzer index after curative resection between the two groups. Therefore resection with curative intention can be performed for the elderly with acceptable morbidity and mortality rates, possible long-term survival, and good quality of life, but a limited operation should be considered in the very elderly patients. Société Internationale de Chirurgie, 2000 Wu Chew-Wun Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut Lo Su-Shun Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut Shen King-Han Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut Hsieh Mao-Chih Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut Lui Wing-Yiu Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut P'eng Fang-Ku Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut World Journal of Surgery Springer-Verlag 24/4(2000-04-01), 465-472 0364-2313 24:4<465 2000 24 268 https://doi.org/10.1007/s002689910074 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910074 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wu Chew-Wun Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut NATIONALLICENCE 700 1- Lo Su-Shun Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut NATIONALLICENCE 700 1- Shen King-Han Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut NATIONALLICENCE 700 1- Hsieh Mao-Chih Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut NATIONALLICENCE 700 1- Lui Wing-Yiu Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut NATIONALLICENCE 700 1- P'eng Fang-Ku Department of Surgery, Veterans General Hospital—Taipei, Shih-Pai, Taipei, Taiwan 11217, Republic of China, CN aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/4(2000-04-01), 465-472 0364-2313 24:4<465 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer