ISSN |
1007-9327 (print) and 2219-2840 (online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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Copyright |
© The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
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Article Reprints |
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Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Surgery |
Manuscript Type |
Retrospective Cohort Study |
Article Title |
Surgery for gastric cancer patients of age 85 and older: Multicenter survey
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Manuscript Source |
Unsolicited Manuscript |
All Author List |
Hirotaka Konishi, Daisuke Ichikawa, Hiroshi Itoh, Kenichiro Fukuda, Naoki Kakihara, Manabu Takemura, Kaori Okugawa, Kiyoshi Uchiyama, Masashi Nakata, Hiroshi Nishi, Toshiyuki Kosuga, Shuhei Komatsu, Kazuma Okamoto and Eigo Otsuji |
Funding Agency and Grant Number |
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Corresponding Author |
Daisuke Ichikawa, MD, PhD, Assistant Professor, Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kajii-cho 465, Kamigyo-ku, Kyoto 602-8566,
Japan. ichikawa@koto.kpu-m.ac.jp
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Key Words |
Gastric cancer; Elderly more than 85; Surgery; Limited lymphadenectomy; Multicenter survey |
Core Tip |
Therapeutic opportunities for elderly gastric cancer (GC) patients have expanded. This multicenter study investigated surgical therapies for GC patients of age 85 or older. Cancer-specific and overall survival rates were 100% and 56% in cStage?Ⅰ. The factors of pT3/4 and limited lymphadenectomy were predictive of worse prognosis. Cancer-specific survival in cStage Ⅱ with radical lymphadenectomy was significantly better, but did not significantly benefit cStage Ⅲ. Only cerebrovascular disease was related with limited lymphadenectomy. Non-cancer-specific death was not negligible, particularly in cStage?Ⅰ, and gastrectomy with radical lymphadenectomy appeared to be an effective treatment for cStage Ⅱ elderly patients.
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Publish Date |
2017-02-20 17:58 |
Citation |
Konishi H, Ichikawa D, Itoh H, Fukuda K, Kakihara N, Takemura M, Okugawa K, Uchiyama K, Nakata M, Nishi H, Kosuga T, Komatsu S, Okamoto K, Otsuji E. Surgery for gastric cancer patients of age 85 and older: Multicenter survey. World J Gastroenterol 2017; 23(7): 1215-1223 |
URL |
http://www.wjgnet.com/1007-9327/full/v23/i7/1215.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v23.i7.1215 |