The perioperative outcomes of gastric cancer surgery in octogenarians

Can Uç; Tolga Girgin; Osman Bozbıyık; Taylan Özgür Sezer; Ozgur Fırat; Muhtar Sinan Ersin

doi:10.19161/etd.1498348

TR EN

Yaşlı hastalarda mide kanseri cerrahisinin perioperatif sonuçlarının değerlendirilmesi

Öz

Amaç: Mide kanseri dünyada en sık görülen beşinci kanserdir. Toplumun yaşlanmasıyla beraber ileri yaş grubunda da mide kanseri görülebilmektedir. Çalışmamızın amacı 80 yaş ve üstü hastalarda mide kanseri cerrahisinin erken dönem sonuçlarının değerlendirilmesidir. Gereç ve Yöntem: Ocak 2015 Haziran 2022 tarihleri arasında mide kanseri nedeniyle opere edilen 80 yaş ve üstü hastalar; klinik, histopatolojik ve erken dönem perioperatif sonuçlar retrospektif olarak değerlendirildi. Bulgular: Çalışmaya toplam 23 hasta dahil edildi. Hastaların yaş ortalaması 81.9 idi. Hastaların sekizi kadın 15’i erkekti. Üç hastaya neoadjuvant sistemik tedavi uygulanmış idi. On bir hastaya total gastrektomi, beş hastaya distal gastrektomi, yedi hastaya proksimal gastrektomi uygulandı. İlk 90 günde iki hastada (%8,69) eksitus, üç hastada (%13,04) morbidite gelişti. Sonuç: Yaşlı hasta grubu özel bir hasta grubudur. Tedavi süreci planlanırken hasta bazlı karar verilmelidir. Mümkünse medikal olarak fit hasta grubuna cerrahi rezeksiyon uygulanmalıdır.

Anahtar Kelimeler

The perioperative outcomes of gastric cancer surgery in octogenarians

Abstract

Aim: Gastric cancer is the fifth most common cancer in the world and the third most common cause of cancer related deaths. Its incidence is also increasing in elderly patients. A patient based, multidisciplinary treatment approach is required in the evaluation of elderly patients. Surgical resection is the curative method in the treatment of gastric cancer. We aimed to evaluate the early surgical outcomes, mortality and morbidity of patients aged 80 years and older who were operated for gastric cancer. Materials and Methods: Patients aged 80 years and older who underwent surgery for gastric adenocarcinoma between January 2015 and June 2022 were retrospectively analyzed. Demographic, clinical, and histopathological parameters and postoperative outcomes were evaluated. Results: Twenty three patients aged 80 years and older were included in the study. The mean age was 81.95 ± 3.11 (Range 80 96) years. 8 were female and 15 were male. 5 patients were ASA I, 11 patients were ASA II, and 7 patients were ASA III. Three patients received neoadjuvant chemotherapy. Total gastrectomy was performed in 11 patients, distal gastrectomy in 5 patients, and proximal gastrectomy in 7 patients. The mean number of lymph nodes removed was 19.87±12.61. The mean hospital stay length was 9.34 ± 3.45 days. The mortality rate in the first ninety days of our study was 8.69% and morbidity was 13,04%. Conclusion: Octogenarians are a special patient group. The treatment plan should be individualized. If possible, all medically fit patients should undergo curative surgery.

Keywords

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Cerrahi Onkoloji , Gastroenteroloji Cerrahisi , Genel Cerrahi

Bölüm

Araştırma Makalesi

Yazarlar

Can Uç ^*
0000-0002-9641-0156
Türkiye

Tolga Girgin
0000-0003-3183-5759
Türkiye

Osman Bozbıyık
0000-0002-1827-2720
Türkiye

Taylan Özgür Sezer
0000-0001-9030-6561
Türkiye

Ozgur Fırat
0000-0002-9683-8945
Türkiye

Muhtar Sinan Ersin
0000-0003-4263-1727
Türkiye

Yayımlanma Tarihi

12 Mart 2025

Gönderilme Tarihi

9 Haziran 2024

Kabul Tarihi

30 Ekim 2024

Yayımlandığı Sayı

Yıl 2025 Cilt: 64 Sayı: 1

DOI

https://doi.org/10.19161/etd.1498348

IZ

https://izlik.org/JA85HT47ST

Kaynak Göster

RIS / Bibtex

Vancouver

1.Can Uç, Tolga Girgin, Osman Bozbıyık, Taylan Özgür Sezer, Ozgur Fırat, Muhtar Sinan Ersin. The perioperative outcomes of gastric cancer surgery in octogenarians. ETD. 01 Mart 2025;64(1):40-5. doi:10.19161/etd.1498348