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Surgical Endoscopy

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01-11-2013 | Review

The impact of old age on surgical outcomes of totally laparoscopic gastrectomy for gastric cancer

Authors: Min Gyu Kim, Hee Sung Kim, Byung Sik Kim, Sung Joon Kwon

Published in: Surgical Endoscopy | Issue 11/2013

Abstract

Background

Old age is regarded as the risk factor of major abdominal surgery due to the lack of functional reserve and the increased presence of comorbidities. This study aimed to evaluate the impact of old age on the surgical outcomes of totally laparoscopic gastrectomy for gastric cancer.

Methods

This study enrolled 389 gastric cancer patients who underwent totally laparoscopic gastrectomy at Hanyang University Guri Hospital and ASAN Medical Center. The patients were classified into two groups according to age as those older than 70 years and those younger than 70 years. Early surgical outcomes such as operation time, postoperative complications, time to first flatus, days until soft diet began, and hospital stay were evaluated. Results: No patient was converted to open surgery. The two groups differed significantly in terms of overall postoperative complication rate, time to first flatus, days until soft diet began, and hospital stay. The patients who underwent Roux-en-Y gastrojejunostomy differed in incidence of postoperative ileus but not in severe postoperative complication rate.

Conclusions

The results of this study demonstrated that old age can have an effect on the surgical outcomes of totally laparoscopic gastrectomy. This study especially showed that elderly patients are affected by the return of bowel movement after totally laparoscopic gastrectomy. On the other hand, however, it is presumed that old age has not had a serious impact on surgical outcomes in totally laparoscopic gastrectomy because no difference in the severe postoperative complication rate was observed.

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Title: The impact of old age on surgical outcomes of totally laparoscopic gastrectomy for gastric cancer
Authors: Min Gyu Kim
Hee Sung Kim
Byung Sik Kim
Sung Joon Kwon
Publication date: 01-11-2013
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 11/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-013-3073-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The impact of old age on surgical outcomes of totally laparoscopic gastrectomy for gastric cancer

Abstract

Background

Methods

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Conclusions

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