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Surgical treatment for gastric cancer in Turkish patients over age 70: early postoperative results and risk factors for mortality

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Abstract

Purpose

The aim of this study was to evaluate the effects of advanced age on early postoperative results and to investigate risk factors for mortality in Turkish gastric cancer patients.

Methods

From 2002 to 2007, 549 patients who underwent gastrectomy for gastric cancer were divided into two groups as patients younger than 70 years and patients aged 70 years or older.

Results

There were 387 patients in the younger group and 162 in the older group. Morbidity rates were similar (25.1% vs. 29.0%). Mortality was higher among the elderly patients (2.6% vs. 9.9%). Advanced age, albumin levels lower than 3 mg/dl, higher American Society of Anesthesiologists score, palliative resections and resection of two or more additional organs were independent risk factors for mortality.

Conclusion

Age alone should not preclude gastric resection in elderly patients. However, for patients with multiple risk factors, more limited surgery should be considered.

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Authors and Affiliations

  1. Gastrointestinal Surgery, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey

    Ilter Ozer, Erdal Birol Bostanci, Umit Koc, Kerem Karaman, Metin Ercan, Murat Ulas, Yusuf B. Ozogul, Tahsin Dalgic & Musa Akoglu

  2. Demirlibahce Mah, Doganbahcesi Sok. 6/3, Mamak, 06340, Ankara, Turkey

    Ilter Ozer

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  1. Ilter Ozer
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  2. Erdal Birol Bostanci
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Correspondence to Ilter Ozer.

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Authors’ contributions

Ilter Ozer, MD: study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript, and critical revision of manuscript.

E. Birol Bostanci, MD: study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript, and critical revision of manuscript.

Umit Koc, MD: study conception and design, acquisition of data, and drafting of manuscript.

Kerem Karaman, MD: study conception and design, acquisition of data, and drafting of manuscript

Metin Ercan, MD: study conception and design, drafting of manuscript, and critical revision of manuscript.

Murat Ulas, MD: study conception and design, drafting of manuscript, and critical revision of manuscript.

Yusuf Ozogul, MD: study conception and design, drafting of manuscript, and critical revision of manuscript.

Tahsin Dalgic, MD: study conception and design, drafting of manuscript, and critical revision of manuscript.

Musa Akoglu, MD: study conception and design, drafting of manuscript, and critical revision of manuscript.

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Ozer, I., Bostanci, E.B., Koc, U. et al. Surgical treatment for gastric cancer in Turkish patients over age 70: early postoperative results and risk factors for mortality. Langenbecks Arch Surg 395, 1101–1106 (2010). https://doi.org/10.1007/s00423-010-0625-2

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  • DOI: https://doi.org/10.1007/s00423-010-0625-2

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