PHẪU THUẬT UNG THƯ DẠ DÀY Ở NGƯỜI CAO TUỔI VÀ CÁC YẾU TỐ TIÊN LƯỢNG

Abstract

Objective: To evaluate the feasibility and prognostic factors for elderly gastric cancer
patients who underwent gastrectomy. Subject and Method: A retrospective study about outcomes of surgical treatment for elderly gastric cancer patients January 2011 to December 2020 at Friendship Hospital. Result: in 204 patients with 81.9% males and 18.1% females; mean age: 72.78 ± 6.72. Associated with: hypertension 45.6%; smoking 40.2%; cardiovascular diseases 23.5%; lung diseases 14.2%; diabetes 12.2%; ASA-2: 75%; ASA-3: 25%. Tumors located in the lower-third 77.9%. Subtotal gastrectomy 79.4%. Performed Billroth I  reconstruction 25.5%; Billroth II 54.4% and Roux-en-Y 20.1%. Lymph node dissection 95.1% with lymphadenectomy D2 62.7%. Combined resection including 12.2%. Postoperative complications occurred in 9.3% without mortality. The average survivors was 59,96 ± 3,56 months. The 5-year survival rate was 47.9% with stages I, II, III, and IV: 83,6%; 62%; 8,3% and 0%. The age, tumor location, tumor size, depth of invasion, lymph node metastasis, cancer stage has consistently been shown to be of prognostic significance for 5year survival rates. Conclusion: Radical surgery for gastric carcinoma in elderly patients can be considered as the standard treatment at friendship hospital.