Low Serum Albumin Level, Male Sex, and Total Gastrectomy Are Risk Factors of Severe Postoperative Complications in Elderly Gastric Cancer Patients
Journal of Gastric Cancer
; : 43-50, 2016.
Article
em En
| WPRIM
| ID: wpr-20815
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
It is well known that old age is a risk factor for postoperative complications. Therefore, this study aimed to explore the risk factors for poor postoperative surgical outcomes in elderly gastric cancer patients. MATERIALS ANDMETHODS:
Between January 2006 and December 2015, 247 elderly gastric cancer patients who underwent curative gastrectomy were reviewed. In this study, an elderly patient was defined as a patient aged ≥65 years. All possible variables were used to explore the risk factors for poor early surgical outcomes in elderly gastric cancer patients.RESULTS:
Based on multivariate analyses of preoperative risk factors, preoperative low serum albumin level (<3.5 g/dl) and male sex showed statistical significance in predicting severe postoperative complications. Additionally, in an analysis of surgery-related risk factors, total gastrectomy was a risk factor for severe postoperative complications.CONCLUSIONS:
Our study findings suggest that low serum albumin level, male sex, and total gastrectomy could be risk factors of severe postoperative complications in elderly gastric cancer patients. Therefore, surgeons should work carefully in cases of elderly gastric cancer patients with low preoperative serum albumin level and male sex. We believe that efforts should be made to avoid total gastrectomy in elderly gastric cancer patients.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Complicações Pós-Operatórias
/
Neoplasias Gástricas
/
Albumina Sérica
/
Análise Multivariada
/
Fatores de Risco
/
Gastrectomia
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
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Humans
/
Male
Idioma:
En
Revista:
Journal of Gastric Cancer
Ano de publicação:
2016
Tipo de documento:
Article