Severity of Complications After Gastrectomy in Elderly Patients With Gastric Cancer
Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Hayashi, Tsutomu [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2012 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2012 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 36(2012), 9 vom: 19. Mai, Seite 2139-2145 |
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| Übergeordnetes Werk: |
volume:36 ; year:2012 ; number:9 ; day:19 ; month:05 ; pages:2139-2145 |
| Links: |
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| DOI / URN: |
10.1007/s00268-012-1653-6 |
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SPR003439593 |
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| 520 | |a Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien–Dindo classification. Results A total of 83 patients with a median age of 82 years (range 80–88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7–26.2 %], and the mortality rate was 3.6 % (95 % CI 0–7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4–14.4 %). Conclusions The morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited. | ||
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| 700 | 1 | |a Ogata, Takashi |4 aut | |
| 700 | 1 | |a Cho, Haruhiko |4 aut | |
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10.1007/s00268-012-1653-6 doi (DE-627)SPR003439593 (SPR)s00268-012-1653-6-e DE-627 ger DE-627 rakwb eng Hayashi, Tsutomu verfasserin aut Severity of Complications After Gastrectomy in Elderly Patients With Gastric Cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien–Dindo classification. Results A total of 83 patients with a median age of 82 years (range 80–88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7–26.2 %], and the mortality rate was 3.6 % (95 % CI 0–7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4–14.4 %). Conclusions The morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited. Gastric Cancer (dpeaa)DE-He213 Gastric Cancer Patient (dpeaa)DE-He213 Severe Complication (dpeaa)DE-He213 Morbidity Rate (dpeaa)DE-He213 Total Gastrectomy (dpeaa)DE-He213 Yoshikawa, Takaki aut Aoyama, Toru aut Ogata, Takashi aut Cho, Haruhiko aut Tsuburaya, Akira aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 9 vom: 19. Mai, Seite 2139-2145 (DE-627)SPR003391159 nnns volume:36 year:2012 number:9 day:19 month:05 pages:2139-2145 https://dx.doi.org/10.1007/s00268-012-1653-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 9 19 05 2139-2145 |
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10.1007/s00268-012-1653-6 doi (DE-627)SPR003439593 (SPR)s00268-012-1653-6-e DE-627 ger DE-627 rakwb eng Hayashi, Tsutomu verfasserin aut Severity of Complications After Gastrectomy in Elderly Patients With Gastric Cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien–Dindo classification. Results A total of 83 patients with a median age of 82 years (range 80–88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7–26.2 %], and the mortality rate was 3.6 % (95 % CI 0–7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4–14.4 %). Conclusions The morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited. Gastric Cancer (dpeaa)DE-He213 Gastric Cancer Patient (dpeaa)DE-He213 Severe Complication (dpeaa)DE-He213 Morbidity Rate (dpeaa)DE-He213 Total Gastrectomy (dpeaa)DE-He213 Yoshikawa, Takaki aut Aoyama, Toru aut Ogata, Takashi aut Cho, Haruhiko aut Tsuburaya, Akira aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 9 vom: 19. Mai, Seite 2139-2145 (DE-627)SPR003391159 nnns volume:36 year:2012 number:9 day:19 month:05 pages:2139-2145 https://dx.doi.org/10.1007/s00268-012-1653-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 9 19 05 2139-2145 |
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10.1007/s00268-012-1653-6 doi (DE-627)SPR003439593 (SPR)s00268-012-1653-6-e DE-627 ger DE-627 rakwb eng Hayashi, Tsutomu verfasserin aut Severity of Complications After Gastrectomy in Elderly Patients With Gastric Cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien–Dindo classification. Results A total of 83 patients with a median age of 82 years (range 80–88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7–26.2 %], and the mortality rate was 3.6 % (95 % CI 0–7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4–14.4 %). Conclusions The morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited. Gastric Cancer (dpeaa)DE-He213 Gastric Cancer Patient (dpeaa)DE-He213 Severe Complication (dpeaa)DE-He213 Morbidity Rate (dpeaa)DE-He213 Total Gastrectomy (dpeaa)DE-He213 Yoshikawa, Takaki aut Aoyama, Toru aut Ogata, Takashi aut Cho, Haruhiko aut Tsuburaya, Akira aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 9 vom: 19. Mai, Seite 2139-2145 (DE-627)SPR003391159 nnns volume:36 year:2012 number:9 day:19 month:05 pages:2139-2145 https://dx.doi.org/10.1007/s00268-012-1653-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 9 19 05 2139-2145 |
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10.1007/s00268-012-1653-6 doi (DE-627)SPR003439593 (SPR)s00268-012-1653-6-e DE-627 ger DE-627 rakwb eng Hayashi, Tsutomu verfasserin aut Severity of Complications After Gastrectomy in Elderly Patients With Gastric Cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien–Dindo classification. Results A total of 83 patients with a median age of 82 years (range 80–88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7–26.2 %], and the mortality rate was 3.6 % (95 % CI 0–7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4–14.4 %). Conclusions The morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited. Gastric Cancer (dpeaa)DE-He213 Gastric Cancer Patient (dpeaa)DE-He213 Severe Complication (dpeaa)DE-He213 Morbidity Rate (dpeaa)DE-He213 Total Gastrectomy (dpeaa)DE-He213 Yoshikawa, Takaki aut Aoyama, Toru aut Ogata, Takashi aut Cho, Haruhiko aut Tsuburaya, Akira aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 9 vom: 19. Mai, Seite 2139-2145 (DE-627)SPR003391159 nnns volume:36 year:2012 number:9 day:19 month:05 pages:2139-2145 https://dx.doi.org/10.1007/s00268-012-1653-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 9 19 05 2139-2145 |
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10.1007/s00268-012-1653-6 doi (DE-627)SPR003439593 (SPR)s00268-012-1653-6-e DE-627 ger DE-627 rakwb eng Hayashi, Tsutomu verfasserin aut Severity of Complications After Gastrectomy in Elderly Patients With Gastric Cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien–Dindo classification. Results A total of 83 patients with a median age of 82 years (range 80–88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7–26.2 %], and the mortality rate was 3.6 % (95 % CI 0–7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4–14.4 %). Conclusions The morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited. Gastric Cancer (dpeaa)DE-He213 Gastric Cancer Patient (dpeaa)DE-He213 Severe Complication (dpeaa)DE-He213 Morbidity Rate (dpeaa)DE-He213 Total Gastrectomy (dpeaa)DE-He213 Yoshikawa, Takaki aut Aoyama, Toru aut Ogata, Takashi aut Cho, Haruhiko aut Tsuburaya, Akira aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 9 vom: 19. Mai, Seite 2139-2145 (DE-627)SPR003391159 nnns volume:36 year:2012 number:9 day:19 month:05 pages:2139-2145 https://dx.doi.org/10.1007/s00268-012-1653-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 9 19 05 2139-2145 |
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Severity of Complications After Gastrectomy in Elderly Patients With Gastric Cancer |
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Severity of Complications After Gastrectomy in Elderly Patients With Gastric Cancer |
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Hayashi, Tsutomu |
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World Journal of Surgery |
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Hayashi, Tsutomu Yoshikawa, Takaki Aoyama, Toru Ogata, Takashi Cho, Haruhiko Tsuburaya, Akira |
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10.1007/s00268-012-1653-6 |
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severity of complications after gastrectomy in elderly patients with gastric cancer |
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Severity of Complications After Gastrectomy in Elderly Patients With Gastric Cancer |
| abstract |
Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien–Dindo classification. Results A total of 83 patients with a median age of 82 years (range 80–88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7–26.2 %], and the mortality rate was 3.6 % (95 % CI 0–7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4–14.4 %). Conclusions The morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited. © Société Internationale de Chirurgie 2012 |
| abstractGer |
Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien–Dindo classification. Results A total of 83 patients with a median age of 82 years (range 80–88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7–26.2 %], and the mortality rate was 3.6 % (95 % CI 0–7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4–14.4 %). Conclusions The morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited. © Société Internationale de Chirurgie 2012 |
| abstract_unstemmed |
Background The risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients. Methods Eligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien–Dindo classification. Results A total of 83 patients with a median age of 82 years (range 80–88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7–26.2 %], and the mortality rate was 3.6 % (95 % CI 0–7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4–14.4 %). Conclusions The morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited. © Société Internationale de Chirurgie 2012 |
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