EVALUATION OF LAPAROSCOPIC RADICAL GASTRECTOMY IN YOUNG AND ELDERLY PATIENTS WITH GASTRIC CARCINOMA

Background: Considering the higher life expectancy, and consequently increasing in the elderly population, a higher incidence of gastric cancer (GC) is expected in this population in the coming decades. Métodos: Foi realizado um estudo retrospectivo, transversal, através da análise de prontuários médicos de pacientes com CG, submetidos à gastrectomia total ou subtotal laparoscópica com finalidade curativa, por uma única Aim: To compare the results of laparoscopic GC surgical treatment between individuals aged <65 years (group I) and > 65 years (group II), according to clinical, surgical, and histopathological characteristics. Methods: A cross-sectional retrospective study was performed through the analysis of medical charts of patients with CG undergoing total or subtotal laparoscopic gastrectomy for curative purposes by a single oncologic surgery team. Patients were stratified according to age. Results: Thirty-six patients were included in group I, and 63.9% were women. Also, 36 patients were included in group II, with 66.7% males. Regarding the ASA classification, 31% of the patients in group I presented ASA 1 classification, compared to 3.1% in group II. The mean number of concomitant medications in group II was statistically superior when compared to group I (5 ± 4.21 × 1.42 ± 3.08, p <0.001). Subtotal gastrectomy was the most performed procedure in both groups (69.4% and 63.9% in groups I and II respectively) due to the high prevalence of distal tumors in both groups, 54.4% group I and 52.9% group II. According to Laurens classification, group I presented a predominance of diffuse tumors (50%) and group II the intestinal type (61.8%). There was no difference between the two groups regarding the number of resected lymph nodes and lymph nodes metastases, as well as the days of hospitalization, and mortality. Conclusion: Laparoscopic gastrectomy is a safe procedure, with no differences in morbidity, mortality, and hospitalization time between young and elderly patients.

 

MissingLinkText

Die Autoren geben an, dass kein Interessenkonflikt besteht.

Publikationsverlauf

Artikel online veröffentlicht:
23. Oktober 2019