title: Morbidity and mortality after non-curative gastrectomy for gastric cancer in elderly patients.
abstract: OBJECTIVE
  This study examined the surgical outcome of non-curative resection in elderly patients with gastric cancer.
  
  
  METHODS
  The study reviewed 278 patients who underwent non-curative resection for advanced gastric cancer. The clinicopathological features of elderly patients (≥ 75 years, n = 257) and younger patients (<75 years, n = 21) were compared.
  
  
  RESULTS
  Although no difference was observed in terms of preoperative performance, there were distinct differences in terms of albumin level, presence of symptoms, and the rate of comorbidities between the two groups. The postoperative morbidity and mortality rate did not differ between the two groups. Age, preoperative performance status, preoperative transfusion, and presence of comorbidity were not independent predictors of postoperative complications. However, the extent of gastric resection and combined resection were closely related to postoperative complications in patients with non-curative gastrectomy.
  
  
  CONCLUSIONS
  In a setting of non-curative resection for gastric cancer, age was not a limiting factor. Rather, the risk of postoperative morbidity should be considered carefully in total gastrectomy and combined resection.
authors.affiliation: Division of Gastrointestinal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Jung Ho
authors.initials: JH
authors.lastname: Shim
authors.forename: Kyung Jai
authors.initials: KJ
authors.lastname: Ko
authors.forename: Han Mo
authors.initials: HM
authors.lastname: Yoo
authors.forename: Seong Il
authors.initials: SI
authors.lastname: Oh
authors.forename: Dong Jin
authors.initials: DJ
authors.lastname: Jeon
authors.forename: Hae Myung
authors.initials: HM
authors.lastname: Jeon
authors.forename: Cho Hyun
authors.initials: CH
authors.lastname: Park
authors.forename: Kyo Young
authors.initials: KY
authors.lastname: Song
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*