Prognostic Significance of Preoperative Nutritional Assessment in Elderly Patients who Underwent Laparoscopic Gastrectomy for Stage I-III Gastric Cancer

Autor: Hideo Uehara, Mitsuhiko Ota, Manabu Yamamoto, Tomonori Nakanoko, Yuki Shin, Keiichi Shiokawa, Yoshiaki Fujimoto, Yuichiro Nakashima, Masahiko Sugiyama, Emi Onishi, Tomonari Shimagaki, Yohei Mano, Keishi Sugimachi, Masaru Morita, Yasushi Toh
Rok vydání: 2023
Předmět:
Zdroj: Anticancer Research. 43:893-901
ISSN: 1791-7530
0250-7005
DOI: 10.21873/anticanres.16232
Popis: Purpose: Surgery for elderly patients with gastric cancer is becoming more common. However, the risk factors of the laparoscopic surgery for these patients are unknown, and thus it is difficult to determine appropriate treatments for such patients. Methods: Two hundred twenty-two patients who underwent laparoscopic gastrectomy for primary gastric cancer between January 2014 and December 2017 were enrolled. Clinical characteristics and short- and long-term prognoses were analyzed in 47 patients aged 75 years or older (elderly group) and in 175 patients who were under 75 years old (non-elderly group). Results: The presence of comorbidities was more common in the elderly group than in the non-elderly group (91.5% versus 61.7%, pConclusion: PNI value is an independent prognostic factor for overall survival in elderly patients who have undergone laparoscopic gastrectomy for gastric cancer; therefore, we need to determine not only its recurrence but also non-cancerous diseases in elderly patients with low PNI.
Databáze: OpenAIRE