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《Journal of Hunan Normal University(Medical Sciences)》 2017-05
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Analysis of the curative effect and follow-up of open D2 radical operation for distal gastric cancerin patients with advanced gastric cancer of different ages

Zhai Hua-zhang;Geng Hong;Shen Wen-ming;Xu Jin;Changzhou Wujin People's Hospital;  
Objective To analyze the curative effect and follow-up of open D2 radical operation in patients with advanced gastric cancer of different ages. Methods One hundred patients with advanced gastric cancer who underwent open D2 radical operation for for distal gastric cancer in our hospital between May 2009 and October 2011 were selected as study subjects and were divided into group A( 70 years old) and group B(≥70 years old) according to age. The surgical effects were evaluated. After operation, the patients were followed up for 5 years, and the 1-year, 3-year and 5-year survival rates were compared between the two groups. Results The ratios of risk of malnutrition and preoperative complications in group A(14.29%, 46.03%) were significantly lower than those in group B(35.14%, 70.27%); the postoperative time of leaving bed in group A was significantly earlier than group B group, and the length of stay was significantly shorter than group B; The incidence rate of pulmonary infection in group A(7.94%) was significantly lower than that in group B(21.62%). The 5-year survival rate of group A(60.32%) was significantly higher than that in group B(37.84%); There was no significant difference in the operation time, bleeding volume, total number of lymph node removed, 1-year and 3-year survival rates between the two groups. Conclusion Elderly(≥70 years old) patients with advanced gastric cancer recover relatively slowly after open D2 radical operation for distal gastric cancer and the risk of pulmonary infection is high, which may be related to the risk of malnutrition and complications in elderly patients; Age affects the prognosis ofpatients(5-year survival rate), but it is not an independent risk factor.
【CateGory Index】: R735.2
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