Minimally invasive surgery versus open gastrectomy for older patients with gastric cancer: A propensity score-matching analysis

IF 2.9 4区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Annals of Gastroenterological Surgery Pub Date : 2024-07-15 DOI:10.1002/ags3.12842

Masaaki Yamamoto, Takeshi Omori, Yasunori Masuike, Naoki Shinno, Hisashi Hara, Takahito Sugase, Takashi Kanemura, Atsushi Takeno, Motohiro Hirao, Hiroshi Miyata

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Abstract

Aim

To compare minimally invasive and open surgery for older patients with gastric cancer.

Methods

This study included 464 consecutive patients with gastric cancer aged ≥75 years who underwent open or laparoscopic gastrectomy at our institution from January 2004 to December 2018. We performed propensity score-matching and compared short- and long-term outcomes between the two groups.

Results

After matching, 332 patients were included in the study (166 in each group). The laparoscopy group had a longer operative time, lesser blood loss, and shorter hospital stays than the open surgery group (all p < 0.020). The laparoscopy group had a lower complication rate than the open surgery group (p = 0.002). No significant differences were noted in the 3-y overall, recurrence-free, and disease-free survival between the groups (all p > 0.200).

Conclusion

Minimally invasive surgery for older patients with gastric cancer may be more beneficial than open gastrectomy in terms of blood loss and hospital stay.

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老年胃癌患者的微创手术与开腹胃切除术：倾向得分匹配分析

本研究纳入了2004年1月至2018年12月期间在我院接受开腹或腹腔镜胃切除术的464名年龄≥75岁的连续胃癌患者。我们进行了倾向得分匹配，并比较了两组患者的短期和长期预后。匹配后，332 名患者被纳入研究（每组 166 人）。与开腹手术组相比，腹腔镜手术组的手术时间更长、失血量更少、住院时间更短（P均为0.200）。微创手术治疗老年胃癌患者在失血量和住院时间方面可能比开腹胃切除术更有利。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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