Author(s): Tandon A.; Rajendran I.; Aziz M.; Nunes Q.; Shrotri M.
Source: Surgical Endoscopy and Other Interventional Techniques; Jun 2017; vol. 31 (no. 2)
Publication Date: Jun 2017
Publication Type(s): Conference Abstract
Abstract:Aims: The elderly age group (EAG) accounts for more than 50% of gastric cancers (GC) in UK, however, evidence regarding surgical management of GC in this group is sparse. This study was designed to evaluate the outcomes following laparoscopic assisted gastric resections (LAGR) in the EAG. Methods: A retrospective review of the prospectively collected database from 2005 to 2015, including all curative LAGR. Age >70 were included in EAG. Length of stay (LOS), anastomotic leaks and in-hospital mortality were observed as primary outcomes. Continuous and categorical variables were analysed using Paired ‘t’ and Chi square test respectively. Long term outcomes were collected as recurrence and survival of patient. Results: A total of 60 patients were included, of which 39(65%) were included in EAG & 21(35%) in the control group (CG). The outcomes were comparable between the EAG & CG with no statistically significant difference in the median LOS (n – 16.6 vs. 16.3; p = 0.792), overall surgical complications (n = 8(20.5%) vs. 2(4.8%); p = 0.469), anastomotic leak (n – 5(12.8%) vs. 2(4.8%); p – 1.000), non-surgical complications (n = 4(10.2%) vs. 2(9.5%); p = 0.238) and in-hospital mortality (n = 3(7.7%) vs.0; p – 0.54) as well. There were 8 recurrences in CG and 2 in EAG (Mantel-Cox p – 0.002). There was no significant difference in survival between the two groups. (Mantel-Cox p = 0.619). Conclusions: This study emphasise the fact that, LAGR is safe to be offered to EAG as their outcomes are similar to the younger counterparts.