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首页> 外文期刊>Surgical Endoscopy >The impact of old age on surgical outcomes of totally laparoscopic gastrectomy for gastric cancer.
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The impact of old age on surgical outcomes of totally laparoscopic gastrectomy for gastric cancer.

机译：老年对胃癌全腹腔镜胃切除术手术结局的影响。

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Old age is regarded as the risk factor of major abdominal surgery due to the lack of functional reserve and the increased presence of comorbidities. This study aimed to evaluate the impact of old age on the surgical outcomes of totally laparoscopic gastrectomy for gastric cancer.This study enrolled 389 gastric cancer patients who underwent totally laparoscopic gastrectomy at Hanyang University Guri Hospital and ASAN Medical Center. The patients were classified into two groups according to age as those older than 70 years and those younger than 70 years. Early surgical outcomes such as operation time, postoperative complications, time to first flatus, days until soft diet began, and hospital stay were evaluated. Results: No patient was converted to open surgery. The two groups differed significantly in terms of overall postoperative complication rate, time to first flatus, days until soft diet began, and hospital stay. The patients who underwent Roux-en-Y gastrojejunostomy differed in incidence of postoperative ileus but not in severe postoperative complication rate.The results of this study demonstrated that old age can have an effect on the surgical outcomes of totally laparoscopic gastrectomy. This study especially showed that elderly patients are affected by the return of bowel movement after totally laparoscopic gastrectomy. On the other hand, however, it is presumed that old age has not had a serious impact on surgical outcomes in totally laparoscopic gastrectomy because no difference in the severe postoperative complication rate was observed.
机译：由于缺乏功能储备和合并症的增加，老年被认为是进行大腹部手术的危险因素。本研究旨在评估老年人对胃癌全腹腔镜胃切除术的手术效果的影响。该研究招募了389名在汉阳大学古里医院和ASAN医疗中心接受全腹腔镜胃切除术的胃癌患者。根据年龄将患者分为两组，分别是70岁以上和70岁以下。评估了手术时间，术后并发症，首次肠胃胀气的时间，开始软饮食之前的天数以及住院时间等早期手术结果。结果：没有患者转为开放手术。两组的总体术后并发症发生率，首次肠胃胀气的时间，直到开始软饮食的天数以及住院时间都存在显着差异。接受Roux-en-Y胃空肠吻合术的患者术后肠梗阻的发生率有所不同，但严重的术后并发症发生率无差异。本研究结果表明，老年可以影响全腹腔镜胃切除术的手术效果。这项研究尤其表明，老年患者受完全腹腔镜胃切除术后肠蠕动恢复的影响。但是，另一方面，由于未观察到严重的术后并发症发生率的差异，因此推测在完全腹腔镜胃切除术中，年龄对手术结果没有严重影响。

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