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Risk Factors for Operative Complications in Elderly Patients During Laparoscopy-Assisted Gastrectomy

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dc.contributor.authorHwang, Sun-Hwi-
dc.contributor.authorPark, Do Joong-
dc.contributor.authorJee, Ye Seob-
dc.contributor.authorKim, Hyung-Ho-
dc.contributor.authorYang, Han-Kwang-
dc.contributor.authorLee, Kuhn Uk-
dc.contributor.authorLee, Hyuk-Joon-
dc.date.accessioned2012-06-29T00:49:40Z-
dc.date.available2012-06-29T00:49:40Z-
dc.date.issued2009-02-
dc.identifier.citationJOURNAL OF THE AMERICAN COLLEGE OF SURGEONS; Vol.208(2); 186-192ko_KR
dc.identifier.issn1072-7515-
dc.identifier.urihttps://hdl.handle.net/10371/77850-
dc.description.abstractBACKGROUND: We evaluated the feasibility of laparoscopy-assisted gastrectomy in elderly patients with gastric cancer. STUDY DESIGN: We performed a retrospective analysis of 632 patients who underwent laparoscopy-assisted gastrectomy from May 2003 to December 2007 at Seoul National University Bundang Hospital. Postoperative complication rates were compared between patients older and younger than 70 years of age. RESULTS: Of the 632 patients, 515 (81.5%) were younger than 70 years and 117 (18.5%) were aged 70 years or older. Significant differences in the prevalence of cardiovascular disease and hypertension were observed in patients older than 70 years (p < 0.05). Although the overall complication rates of the patients younger and older than 70 years were 12.6% and 17.9%, respectively, there was no statistically significant difference between groups (p = 0.12). Multiple logistic regression analysis revealed that comorbidities with hypertension or with liver cirrhosis were the only variables that correlated independently with postoperative complications. CONCLUSIONS: Complications after laparoscopy-assisted gastrectomy for patients older than 70 years of age with gastric cancer were similar to those of younger patients. But a careful approach is required when patients older than 70 years of age have hypertension or liver cirrhosis. (J Am Coll Surg 2009;208:186-192. (C) 2009 by the American College of Surgeons)ko_KR
dc.language.isoenko_KR
dc.publisherELSEVIER SCIENCE INCko_KR
dc.titleRisk Factors for Operative Complications in Elderly Patients During Laparoscopy-Assisted Gastrectomyko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor황선휘-
dc.contributor.AlternativeAuthor박도중-
dc.contributor.AlternativeAuthor지예섭-
dc.contributor.AlternativeAuthor김형호-
dc.contributor.AlternativeAuthor이혁준-
dc.contributor.AlternativeAuthor양한광-
dc.contributor.AlternativeAuthor이건욱-
dc.identifier.doi10.1016/j.jamcollsurg.2008.10.023-
dc.citation.journaltitleJOURNAL OF THE AMERICAN COLLEGE OF SURGEONS-
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