Advances in Esophageal Surgery in Elderly Patients with Thoracic Esophageal Cancer

被引：0

作者：

Morita, Masaru ^{[1
]}

Otsu, Hajime ^{[1
]}

Kawano, Hiroyuki ^{[1
]}

Kumashiro, Ryuichi ^{[1
]}

Taketani, Kenji ^{[1
]}

Kimura, Yasue ^{[1
]}

Saeki, Hiroshi ^{[1
]}

Ando, Koji ^{[1
]}

Ida, Satoshi ^{[1
]}

Oki, Eiji ^{[1
]}

Tokunaga, Eriko ^{[1
]}

Ikeda, Tetsuo ^{[1
]}

Kusumoto, Tetsuya ^{[1
]}

Maehara, Yoshihiko ^{[1
]}

机构：

[1] Kyushu Univ, Dept Surg & Sci, Grad Sch Med Sci, Fukuoka 8128582, Japan

来源：

ANTICANCER RESEARCH | 2013年 / 33卷 / 04期

关键词：

Esophageal cancer; elderly patients; esophagectomy; CARCINOMA; OUTCOMES; CHEMORADIOTHERAPY; OCTOGENARIANS; MANAGEMENT; OPERATION; JAPAN; OLDER; AGE;

D O I：

暂无

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Aim: To justify esophagectomy for elderly patients. Patients and Methods: A total of 1,002 patients with thoracic esophageal cancer who underwent esophagectomy were divided into three groups: I (<= 74 years old, n=898); II (75-79 years, n=81); and III (>= 80 years, n=23). Historical changes were compared between the first surgical period (1964-1989) and the second period (1990-2011). Results: The morbidity rates were 40%, 41% and 26% in the respective groups. Pulmonary complications decreased historically in groups II and III (36% to 15% and 43% to 0%, respectively). The mortality was higher in the older groups (4.8%, 8.6% and 13.0%, respectively); however, there was a marked historical decrease in groups II (18.2% to 5.1%) and III (28.6% to 6.3%). The 5-year survival improved from 5% to 35% in group II and from 0% to 17% in group III. Conclusion: The outcomes of esophagectomy for elderly patients have markedly improved, with acceptable mortality even in octogenarians.

引用

页码：1641 / 1647

页数：7

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