| Autor: |
Tetsunori, Yoshimura, Eisuke, Yamamoto, Haruya, Koshiishi, Hiroshi, Goto, Mayumi, Hoshino, Hitoshi, Sugimoto, Hiroko, Matsunaga, Ayako, Kamiya, Norihito, Ogawa, Tokuko, Hosoya, Fumi, Shigehara |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Gan to kagaku ryoho. Cancerchemotherapy. 45(13) |
| ISSN: |
0385-0684 |
| Popis: |
We have performed totally laparoscopic stomach-partitioning gastrojejunostomy for gastroduodenal outlet obstruction caused by advanced malignancies in 14 cases. We divided 14 patients into 2 groups according to age at surgery: those80 years of age and thoseB80 years of age. We compared these 2 groups regarding preoperative status, operative findings, and postoperative course. We found that the stage of cancer in the older group was lower than in the younger group, the number of unresectable factors in the older group were fewer than in the younger group, and the postoperative stay in the older group was shorter than in the younger group. There were no serious postoperative complications in either group and all 14 patients were able to drink or eat the day after surgery. These results suggest that palliative, totally laparoscopic stomachpartitioning gastrojejunostomy may be the best option for elderly cancer patients with gastroduodenal outlet obstruction caused by advanced malignancies, even when their general conditions is poor. We should consider this surgical procedure as soon as possible when the patient decides on palliative treatment. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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