[Risk factors of elderly patients with total gastrectomy for gastric cancer].
OBJECTIVE
To analyze the relative risk factors of elderly patients with total gastrectomy for gastric cancer.


METHODS
The risk factors for hospital death and postoperative complications in 131 elderly patients undergoing total gastrectomy for gastric cancer from Aug. 1994 to Aug. 2004 were analyzed retrospectively.


RESULTS
The risk factors for hospital death and postoperative complications included coexistent diseases, hemoglobin level less than 80 g/L, albumin level less than 35 g/L, body mass index(BMI) less than 18.5 kg/m (2), intraoperative blood loss more than 1000 ml, operating time longer than 5 h, combined resection of the spleen or pancreas. The relative risks were 1.57, 1.74, 2.97, 4.23, 2.21, 2.28, 3.80 respectively for hospital death, and 1.50, 1.90, 2.38, 2.12, 2.45, 1.66, 3.41 for postoperative complications.


CONCLUSIONS
The risk factors of the elderly patients with total gastrectomy for gastric cancer should be considered carefully during the perioperative period. It can increase the security of the procedure to control these risk factors.
Zhao
Gang
G
Department of Gastrointestinopancreatic Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.
Zhan
Wen-hua
WH
Peng
Jun-sheng
JS
He
Yu-long
YL
Ma
Jin-ping
JP
Yan
Yan-guo
YG
Dong
Wen-guang
WG
Cai
Shi-rong
SR
Wang
Jian-ping
JP
D000368:Aged; D000369:Aged, 80 and over; D000075202:Contraindications; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*