Characteristic and Surgical Treatment for Gastric Cancer in Elderly_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WANG Zhenglin , HU Xiang

Department of General Surgery, The First Affiliated Hospital, Dalian Medical University, Dalian 116011, Liaoning Province, China;

Corresponding author：

WANG Zhenglin, Email: wzl7623@yahoo.com.cn

Keywords：

Gastric cancer; Elderly; Surgery; Treatment

Video：

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Objective To discuss the clinical characteristics and surgical treatment for gastric cancer in the elderly. Methods Related literatures were reviewed to summarize the characteristics of elderly patients with gastric cancer, thus to evaluate the feasibility and strategy of surgical treatment for elderly patients with gastric cancer. Results Elderly gastric cancer patients often had one or more comorbidities, but most patients could accept gastrectomy and had a good prognosis.
Conclusions Age is not the contraindication for surgery. Dealing with comorbidities in elderly patients, preventing the complications and performing the appropriate surgical method can result in a good therapeutic effect.

Citation： WANG Zhenglin,HU Xiang. Characteristic and Surgical Treatment for Gastric Cancer in Elderly. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(1): 37-39. doi: Copy

1.	Alexander HR, Turnbull AD, Salamone J, et al. Upper abdominal cancer surgery in the very elderly [J]. J Surg Oncol,1991; 47(2): 8286.
2.	Derby SE. Ageism in cancer care of the elderly [J]. Oncol Nurs Forum, 1991; 18(5): 921926.
3.	Koruda MJ, Sheldon GF. Surgery in the aged [J]. Adv Surg, 1991; 24: 293331.
4.	Buxbaum JL, Schwartz AJ. Perianesthetic consideration for the elderly patient [J]. Surg Clin North Am, 1994; 74(1): 4161.
5.	翟刚, 李强, 张计平. 老年胃癌患者围手术期治疗体会 [J]. 肿瘤研究与临床, 2003; 15(2): 115116.
6.	朱建平, 张宗明, 陈以安, 等. 80岁以上老年人外科疾病的围手术期处理 [J]. 实用老年医学, 2006; 20(2): 123125.
7.	Bandoh T, Isoyama T, Toyoshima H. Total gastrectomy for gastric cancer in the elderly [J]. Surgery, 1991; 109(2): 136142.
8.	Rohde H, Bauer P, Stutzer H, et al. Proximal compared with distal adenocarcinoma of the stomach: Differences and consequences [J]. Br J Surg, 1991; 78(10): 12421248.
9.	秦新裕，刘凤林. 老年胃癌的特点和手术治疗 [J]. 临床外科杂志, 2008; 16(4): 220221.
10.	Gretschel S, EstevezSchwarz L, Hunerbein M, et al. Gastric cancer surgery in elderly patients [J]. World J Surg, 2006; 30(8): 14681474.
11.	王玉亮, 陈凛. 胃癌患者 T淋巴细胞亚群检测的临床意义 [J]. 医药论坛杂志, 2007; 28(13): 45.
12.	Maehara Y, Oshiro T, Oiwa H, et al. Gastric carcinoma in patients over 70 years of age [J]. Br J Surg, 1995; 82(1): 102105.
13.	崔巍, 吴伟主, 汪闻夕, 等. 70 岁以上老年胃癌全胃切除回顾分析 [J]. 实用老年医学, 2004; 18(2): 9495.
14.	尹浩然. 老年胃癌诊治中的若干关键问题 [J]. 老年医学与保健, 2004; 10(3): 135137.
15.	薛建元, 尹浩然, 朱正纲, 等. 高龄老年胃癌的外科治疗 [J]. 中国肿瘤临床, 2000; 27(5): 352355.
16.	朱锦德, 吕晰亮, 吴春晓, 等. 225 例老年胃癌临床及术后并发症分析 [J]. 临床外科杂志, 2000; 8(1): 2124.
17.	Sasako M, Sano T, Yamamoto S， et al. D2 lymphadenectomy alone or with paraaortic nodal dissection for gastric cancer [J]. N Engl J Med, 2008; 359（5）: 453462.
18.	Kunisaki C, Akiyama H, Nomura M, et al. Comparison of surgical results of D2 versus D3 gastrectomy (paraaortic lymph node dissection) for advanced gastric carcinoma: a multiinstitutional study [J]. Ann Surg Oncol, 2006; 13(5): 659667.
19.	Eguchi T, Takahashi Y, Ikarashi M, et al. Is extended lymph node dissection necessary for gastric cancer in elderly patients? [J]. Eur J Surg, 2000; 166(12): 949953.
20.	陈志新，张波. 胃癌综合治疗现状及展望 [J]. 中国普外基础与临床杂志, 2008; 15(1): 7173.
21.	何运胜，姜淮芜. 进展期胃癌多模式治疗的研究进展 [J]. 中国普外基础与临床杂志, 2008; 15(1): 3135.
22.	陈永宁. 384例胃次全切除术后残胃病变分析 [J]. 广西医学, 2004; 26(2): 225226.
23.	顾荣民, 陈环球, 明学志. 9例根治性远端胃切除术后胃瘫临床分析 [J]. 江苏医药杂志, 2004; 30(7): 549.
24.	刘统成, 詹文华, 汪建平, 等. 胃癌根治术后患者生活质量的研究 [J]. 中华胃肠外科杂志, 2002; 5(1): 2023.
25.	黄昌明, 张祥福, 卢辉山, 等. 老年人胃癌姑息性手术的疗效评价 [J]. 中华老年医学杂志, 2002; 21(1): 6364.
26.	贾辉, 许林. 80岁以上老年食道、贲门癌的外科治疗 [J]. 实用老年医学, 2006; 20(4): 278279.
27.	鲁修明, 孙立波, 舒振波，等. 70 岁以上老年胃癌患者术后早期停止胃肠减压恢复肠内营养的临床观察 [J]. 中国普外基础与临床杂志, 2009; 16(1): 87.

1. Alexander HR, Turnbull AD, Salamone J, et al. Upper abdominal cancer surgery in the very elderly [J]. J Surg Oncol,1991; 47(2): 8286.
2. Derby SE. Ageism in cancer care of the elderly [J]. Oncol Nurs Forum, 1991; 18(5): 921926.
3. Koruda MJ, Sheldon GF. Surgery in the aged [J]. Adv Surg, 1991; 24: 293331.
4. Buxbaum JL, Schwartz AJ. Perianesthetic consideration for the elderly patient [J]. Surg Clin North Am, 1994; 74(1): 4161.
5. 翟刚, 李强, 张计平. 老年胃癌患者围手术期治疗体会 [J]. 肿瘤研究与临床, 2003; 15(2): 115116.
6. 朱建平, 张宗明, 陈以安, 等. 80岁以上老年人外科疾病的围手术期处理 [J]. 实用老年医学, 2006; 20(2): 123125.
7. Bandoh T, Isoyama T, Toyoshima H. Total gastrectomy for gastric cancer in the elderly [J]. Surgery, 1991; 109(2): 136142.
8. Rohde H, Bauer P, Stutzer H, et al. Proximal compared with distal adenocarcinoma of the stomach: Differences and consequences [J]. Br J Surg, 1991; 78(10): 12421248.
9. 秦新裕，刘凤林. 老年胃癌的特点和手术治疗 [J]. 临床外科杂志, 2008; 16(4): 220221.
10. Gretschel S, EstevezSchwarz L, Hunerbein M, et al. Gastric cancer surgery in elderly patients [J]. World J Surg, 2006; 30(8): 14681474.
11. 王玉亮, 陈凛. 胃癌患者 T淋巴细胞亚群检测的临床意义 [J]. 医药论坛杂志, 2007; 28(13): 45.
12. Maehara Y, Oshiro T, Oiwa H, et al. Gastric carcinoma in patients over 70 years of age [J]. Br J Surg, 1995; 82(1): 102105.
13. 崔巍, 吴伟主, 汪闻夕, 等. 70 岁以上老年胃癌全胃切除回顾分析 [J]. 实用老年医学, 2004; 18(2): 9495.
14. 尹浩然. 老年胃癌诊治中的若干关键问题 [J]. 老年医学与保健, 2004; 10(3): 135137.
15. 薛建元, 尹浩然, 朱正纲, 等. 高龄老年胃癌的外科治疗 [J]. 中国肿瘤临床, 2000; 27(5): 352355.
16. 朱锦德, 吕晰亮, 吴春晓, 等. 225 例老年胃癌临床及术后并发症分析 [J]. 临床外科杂志, 2000; 8(1): 2124.
17. Sasako M, Sano T, Yamamoto S， et al. D2 lymphadenectomy alone or with paraaortic nodal dissection for gastric cancer [J]. N Engl J Med, 2008; 359（5）: 453462.
18. Kunisaki C, Akiyama H, Nomura M, et al. Comparison of surgical results of D2 versus D3 gastrectomy (paraaortic lymph node dissection) for advanced gastric carcinoma: a multiinstitutional study [J]. Ann Surg Oncol, 2006; 13(5): 659667.
19. Eguchi T, Takahashi Y, Ikarashi M, et al. Is extended lymph node dissection necessary for gastric cancer in elderly patients? [J]. Eur J Surg, 2000; 166(12): 949953.
20. 陈志新，张波. 胃癌综合治疗现状及展望 [J]. 中国普外基础与临床杂志, 2008; 15(1): 7173.
21. 何运胜，姜淮芜. 进展期胃癌多模式治疗的研究进展 [J]. 中国普外基础与临床杂志, 2008; 15(1): 3135.
22. 陈永宁. 384例胃次全切除术后残胃病变分析 [J]. 广西医学, 2004; 26(2): 225226.
23. 顾荣民, 陈环球, 明学志. 9例根治性远端胃切除术后胃瘫临床分析 [J]. 江苏医药杂志, 2004; 30(7): 549.
24. 刘统成, 詹文华, 汪建平, 等. 胃癌根治术后患者生活质量的研究 [J]. 中华胃肠外科杂志, 2002; 5(1): 2023.
25. 黄昌明, 张祥福, 卢辉山, 等. 老年人胃癌姑息性手术的疗效评价 [J]. 中华老年医学杂志, 2002; 21(1): 6364.
26. 贾辉, 许林. 80岁以上老年食道、贲门癌的外科治疗 [J]. 实用老年医学, 2006; 20(4): 278279.
27. 鲁修明, 孙立波, 舒振波，等. 70 岁以上老年胃癌患者术后早期停止胃肠减压恢复肠内营养的临床观察 [J]. 中国普外基础与临床杂志, 2009; 16(1): 87.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Characteristic and Surgical Treatment for Gastric Cancer in Elderly

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