[Therapy of stomach carcinoma in older people].
Of 242 gastric cancer patients undergoing surgery in this clinic between 1979 and 1986, 84 (35%) were aged over 70. Staging of patients by the UICC (1978) classification was I: 4.8%, II: 16.7%, III: 18% and IV: 60.5%. Resection rate was 71.4% (60/84) with postoperative hospital mortality of 11.7% (7/60). Mortality in non-resected patients was 25% (6/24). Mortality after total gastrectomy was 11% and after distal resection 5.3%. Actuarial 5-year survival with curative resection was 43.5%, whereas no patient with palliative resection was alive 2 years (range 2-22 months) after surgery (p less than 0.01). These results show that curative resection is the therapy of choice even in elderly patients, due to the low operative risk and excellent survival.
Roukos
D
D
Abteilung für Allgemeine und Abdominalchirurgie, Klinikum der J. W. Goethe-Universität, Frankfurt.
Hottenrott
C
C
Lorenz
M
M
D000206:Actuarial Analysis; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D010166:Palliative Care; D011379:Prognosis; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D013557:Switzerland
Therapie des Magenkarzinoms beim älteren Menschen.