title: Short and long-term outcomes after gastrectomy for gastric carcinoma in elderly patients.
abstract: As worldwide life expectancy rises, the number of candidates for surgical treatment of gastric carcinoma over 70 years will increase. This study aims to examine outcomes after gastric carcinoma in elderly patients. This study is a retrospective review of 697 patients undergoing gastrectomy with radical intent for gastric carcinoma during January 2007 to January 2013. A total of 534 patients were less than 70 years old (group A), and 163 patients 70 years or greater (group B). We analyzed the effect of age on short and long-term variables including overall survival and disease-free survival. Major morbidity was observed to occur in 19 patients of group A, and 15 of group B. Mortality, both 30-day and 90-day was observed in 1 and 3 of group A, and 3 and 6 of group B. Five-year overall survival and disease-free survival was 61% and 60% for group A, 50% and 43% for group B respectively. Gastrectomy should be carefully considered in patients 70 years old and can be justified with low mortality and acceptable long-term outcomes.
authors.affiliation: Department of General Surgery, The Second Xiangya Hospital of Central South University Changsha 410011, People's Republic of China.
authors.forename: Bo
authors.initials: B
authors.lastname: Shu
authors.affiliation: Department of General Surgery, The Second Xiangya Hospital of Central South University Changsha 410011, People's Republic of China.
authors.forename: Sanlin
authors.initials: S
authors.lastname: Lei
authors.affiliation: Department of General Surgery, The Second Xiangya Hospital of Central South University Changsha 410011, People's Republic of China.
authors.forename: Fazhao
authors.initials: F
authors.lastname: Li
authors.affiliation: Department of General Surgery, The Second Xiangya Hospital of Central South University Changsha 410011, People's Republic of China.
authors.forename: Songwen
authors.initials: S
authors.lastname: Hua
authors.affiliation: Department of General Surgery, The Second Xiangya Hospital of Central South University Changsha 410011, People's Republic of China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Immunology, School of Basic Medical Science, Central South University Changsha 410013, People's Republic of China.
authors.forename: Zhi
authors.initials: Z
authors.lastname: Huo
keywords: Gastric carcinoma; elderly age; gastrectomy