고 연령군 위암 환자의 수술적 치료와 그 예후
Surgical Treatment and Prognosis for Gastric Cancer in the Elderly
오상현, 이문수, 조규석, 채만규, 김성용, 백무준, 박경규, 김창호, 송옥평, 조무식,
소속 상세정보
오상현 ( Oh Sang-Hyun )
순천향대학교 천안병원 외과학교실
이문수 ( Lee Moon-Soo )
순천향대학교 천안병원 외과학교실
조규석 ( Cho Gyu-Seok )
순천향대학교 천안병원 외과학교실
채만규 ( Chae Man-Kyu )
순천향대학교 의과대학 천안병원 외과학교실
김성용 ( Kim Sung-Yong )
순천향대학교 천안병원 외과학교실
백무준 ( Baek Moo-Jun )
순천향대학교 천안병원 외과학교실
박경규 ( Park Kyung-Kyu )
순천향대학교 천안병원 외과학교실
김창호 ( Kim Chang-Ho )
순천향대학교 천안병원 외과학교실
송옥평 ( Song Ok-Pyung )
순천향대학교 의과대학 천안병원 외과학교실
조무식 ( Cho Moo-Sik )
순천향대학교 천안병원 외과학교실
KMID : 0371320010610030287
Abstract
Purpose
The number of elderly patients who undergo surgery for gastric cancer has increased in recent years due to a life expectancy. To prevent fatal complications and increase the survival rate in gastric cancer patients, this study endeavored to
clarify
the
risk factors contributing to postoperative complications in elderly patients undergoing a radical gastrectomy.
Methods
Between January 1997 and December 1998, 176 patients underwent a gastrectomy for gastric cancer. For this review, the patients were divided into two groups; 30 patients over 70 years of age (older group) and 102 patients below 70 years of age
(younger
group), were prepared. A retrospective study was performed to examine the factors related
to the high rate of complications and to compare the operative and general complications.
Results
The incidences of preoperative combined disease were 56.6% in the older group and 31.3% in the younger group (p＜0.05), but no significant difference in the incidence of postoperative complications (36.6% versus 38.2%) was found between the two
groups.
The most common postoperative complications were wound infections, pulmonary disorders, and intraabdominal infections.
Conclusion
Despite the increased rate of preoperative combined disease in older patients, patients over 70 years are able to tolerate a radical gastrectomy for gastric cancer when optimal perioperative management is provided and blood loss is reduced.
키워드
위암; 고령 환자; 수술 후 합병증; 근치적 위절제술; Gastric cancer; Elderly patients; Postoperative complications; Radical gastrectomy;
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