title: [The Present Status of Surgical and Endoscopic Treatment for Gastric Cancer Patients Aged 85 Years or Older].
abstract: This study aimed to survey treatment ofgastric cancer via gastrectomy or endoscopic submucosal dissection(ESD)in patients aged 85 years or older and to clarify the risks and benefits of gastrectomy in terms of postoperative complications and prognosis. The analysis included 40 patients who were treated via gastrectomy and 41 who were treated via ESD. All patients were aged 85 years or older. Although most ofthe patients who had gastrectomy had good performance status(PS), comorbidities were found in 72.5%, and limited operation was often performed. In the gastrectomy group, R0 tumor-free resection margins were achieved in 75%, and postoperative complications occurred in 45%. Despite R0 surgery, the 2-year overall survival rate was 61.7% and the 3-year overall survival was 42.9%. Seven patients(17.1%)in the ESD group were diagnosed with T1b tumors, and no patients were shifted to surgery. Treatment decisions for super-elderly gastric cancer patients are made with regard to age, PS, and comorbidities. There is a limit to survival time after radical gastrectomy. It is necessary to examine the negative effect of gastrectomy on survival time. Selected patients aged 85 years or older with T1b gastric cancer should be given the option of ESD.
authors.affiliation: Division of Gastroenterological Surgery, Chiba Cancer Center.
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takiguchi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Nabeya
authors.forename: Reiri
authors.initials: R
authors.lastname: Shimazaki
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ikeda
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Soda
authors.forename: Toru
authors.initials: T
authors.lastname: Tonooka
authors.forename: Osamu
authors.initials: O
authors.lastname: Kainuma
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Imanishi
authors.forename: Hidehito
authors.initials: H
authors.lastname: Arimitsu
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Kobayashi
authors.forename: Tomofumi
authors.initials: T
authors.lastname: Chibana
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Ishige
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Matsuo
authors.initials: M
authors.lastname: Nagata
authors.forename: Takuto
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D005743:Gastrectomy; D020699:Gastroscopes; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome