Surgical outcomes and survival after gastrectomy in octogenarians with XXXX .

@entity1 @entity5 @entity356
BACKGROUND: The aim of this study was to evaluate the surgical outcomes and survival after gastrectomy in octogenarians and identify the optimal treatment for these @entity1 . METHODS: The medical records of 1262 @entity1 with @entity356 who underwent gastrectomy from January 2003 to December 2012 were reviewed retrospectively. @entity1 were divided into two age groups: octogenarians (>= 80  y, n  =  75) and nonoctogenarians (<80  y, n  =  1187). The @entity1 ' clinicopathologic data, surgical outcomes, and survival were evaluated. RESULTS: Octogenarians exhibited a higher proportion of female @entity1 , poorer performance scale scores, higher comorbidities, and more advanced @entity5 ( @entity5 ) stages than did nonoctogenarians. There was no difference in the surgical curability between the two groups, although octogenarians were more likely to have higher postoperative morbidity and mortality than those of nonoctogenarians. In an analysis of risk factors affecting survival after gastrectomy for octogenarians, only advanced @entity5 stage was an independent prognostic factor. Overall survival was significantly lower in octogenarians than in nonoctogenarians, whereas disease-specific survival was comparable between the two groups. There was no difference in the disease-specific survival for each stage of @entity5 after adjustment for @entity5 stage. CONCLUSIONS: Octogenarians had higher postoperative morbidity and mortality rates but comparable @entity5 -specific survival compared with nonoctogenarians. Only an advanced @entity5 stage influenced the prognosis of octogenarians. Early detection and thorough postoperative care would improve the overall survival for octogenarians with @entity356 .
