Minimally invasive surgery versus open gastrectomy for older patients with gastric cancer: A propensity score-matching analysis

被引：1

作者：

Yamamoto, Masaaki ^{[1
,2
]}

Omori, Takeshi ^{[1
]}

Masuike, Yasunori ^{[1
]}

Shinno, Naoki ^{[1
]}

Hara, Hisashi ^{[1
]}

Sugase, Takahito ^{[1
]}

Kanemura, Takashi ^{[1
]}

Takeno, Atsushi ^{[2
]}

Hirao, Motohiro ^{[2
]}

Miyata, Hiroshi ^{[1
]}

机构：

[1] Osaka Int Canc Inst, Dept Gastroenterol Surg, 3-1-69 Otemae,Chuo Ku, Osaka, Osaka 5418567, Japan

[2] NHO Osaka Natl Hosp, Dept Surg, 2-1-14 Hoenzaka,Chuo Ku, Osaka, Osaka 5400006, Japan

来源：

ANNALS OF GASTROENTEROLOGICAL SURGERY | 2025年 / 9卷 / 01期

关键词：

elderly; gastrectomy; gastric cancer; general surgery; minimally invasive surgery; ELDERLY-PATIENTS; SURGICAL RISK; PREDICTION; MORBIDITY; MORTALITY; COMPLICATIONS; FRAILTY;

D O I：

10.1002/ags3.12842

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Aim: To compare minimally invasive and open surgery for older patients with gastric cancer. Methods: This study included 464 consecutive patients with gastric cancer aged >= 75 years who underwent open or laparoscopic gastrectomy at our institution from January 2004 to December 2018. We performed propensity score-matching and compared short- and long-term outcomes between the two groups. Results: After matching, 332 patients were included in the study (166 in each group). The laparoscopy group had a longer operative time, lesser blood loss, and shorter hospital stays than the open surgery group (all p < 0.020). The laparoscopy group had a lower complication rate than the open surgery group (p = 0.002). No significant differences were noted in the 3-y overall, recurrence-free, and disease-free survival between the groups (all p > 0.200). Conclusion: Minimally invasive surgery for older patients with gastric cancer may be more beneficial than open gastrectomy in terms of blood loss and hospital stay.

引用

页码：69 / 78

页数：10

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