title: [Evaluation of Complications after Gastrectomy with Clavien-Dindo Classification in Patients Aged Over 85 Years].
abstract: OBJECTIVE
  The aim of this study is to evaluate complications of gastrectomy for gastric cancer in patients aged over 85 years.
  
  
  METHODS
  Thirteen patients received curative gastrectomy between April 2007 and March 2008. The surgical complications were evaluated using the Clavien-Dindo classification.
  
  
  RESULTS
  There were 11 patients aged 85-89 years and 2 who were over 90 years old. The median body mass index was 18. Nine patients underwent distal gastrectomy and 4 underwent total gastrectomy. The median operation time was 142 minutes and the median blood loss was 148 mL. Complications greater than Grade 2 were observed in 5 patients(38.5%). All complications were Grade 2. No surgical mortality was observed.
  
  
  CONCLUSIONS
  The morbidity rate in elderly patients over 85 years of age may be higher than in patients aged 75 and lower. Our results suggest that gastrectomy for patients aged over 85 years is acceptable.
authors.affiliation: Dept. of Surgery, Yokohama City University Hospital.
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Nagasawa
authors.forename: Toru
authors.initials: T
authors.lastname: Aoyama
authors.forename: Takanobu
authors.initials: T
authors.lastname: Yamada
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Hayashi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tamagawa
authors.forename: Tadao
authors.initials: T
authors.lastname: Fukushima
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsukawa
authors.forename: Kimiatsu
authors.initials: K
authors.lastname: Hasuo
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Tani
authors.forename: Katsuya
authors.initials: K
authors.lastname: Yoneyama
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Suzuki
authors.forename: Norio
authors.initials: N
authors.lastname: Yukawa
authors.forename: Takaki
authors.initials: T
authors.lastname: Yoshikawa
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Rino
authors.forename: Munetaka
authors.initials: M
authors.lastname: Masuda
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*