Impact of age and comorbidity on the short-term surgical outcome after laparoscopy-assisted distal gastrectomy for adenocarcinoma

Han A. Park, Seong-Heum Park, Sung Il Cho, You-Jin Jang, Jong Han Kim, Sungsoo Park, Young Jae Mok, Chong Suk Kim

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The aim of this study was to determine whether age and comorbidity are valuable risk factors of the short-term surgical outcome after laparoscopy-assisted distal gastrectomy (LADG) in patients with adenocarcinoma. A series of 387 patients who underwent LADG at three university hospitals between March 2006 and December 2010 were retrospectively studied. To compare the short-term surgical outcomes of LADG of elderly patients with those of younger patients, patients were categorized into an elderly group (older than 70 years of age) and a younger group (70 years of age or younger). For another comparative analysis to identify risk factors of postoperative complications after LADG, patients were categorized into two groups: those with complications and those without complications. With the exception of sex ratio and comorbidity rate, two age groups were nonsignificantly different in terms of demographic, operative, pathologic, and short-term surgical outcome data. Our data support the safety and feasibility of LADG in elderly patients. However, our data show that comorbidity is an important predictor of postoperative systemic complications after LADG. Patients with an age-adjusted Charlson comorbidity index (CCI) of 3 or greater were found to be at a greater risk of developing systemic complications, which suggests that ageadjusted CCI is a useful predictor of systemic complications after LADG and that it could be used routinely for the perioperative care of aged patients with comorbidity. We recommend ageadjusted CCI be used in comparative clinical research studies on the surgical outcomes across surgeons and hospitals. Copyright Southeastern Surgical Congress. All rights reserved.

Original languageEnglish
Pages (from-to)40-48
Number of pages9
JournalAmerican Surgeon
Volume79
Issue number1
Publication statusPublished - 2013 Jan 1

Fingerprint

Gastrectomy
Laparoscopy
Comorbidity
Adenocarcinoma
Perioperative Care
Sex Ratio
Age Groups
Demography
Safety
Research

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

@article{d69e3befd4404ce49950c5d8f240116b,
title = "Impact of age and comorbidity on the short-term surgical outcome after laparoscopy-assisted distal gastrectomy for adenocarcinoma",
abstract = "The aim of this study was to determine whether age and comorbidity are valuable risk factors of the short-term surgical outcome after laparoscopy-assisted distal gastrectomy (LADG) in patients with adenocarcinoma. A series of 387 patients who underwent LADG at three university hospitals between March 2006 and December 2010 were retrospectively studied. To compare the short-term surgical outcomes of LADG of elderly patients with those of younger patients, patients were categorized into an elderly group (older than 70 years of age) and a younger group (70 years of age or younger). For another comparative analysis to identify risk factors of postoperative complications after LADG, patients were categorized into two groups: those with complications and those without complications. With the exception of sex ratio and comorbidity rate, two age groups were nonsignificantly different in terms of demographic, operative, pathologic, and short-term surgical outcome data. Our data support the safety and feasibility of LADG in elderly patients. However, our data show that comorbidity is an important predictor of postoperative systemic complications after LADG. Patients with an age-adjusted Charlson comorbidity index (CCI) of 3 or greater were found to be at a greater risk of developing systemic complications, which suggests that ageadjusted CCI is a useful predictor of systemic complications after LADG and that it could be used routinely for the perioperative care of aged patients with comorbidity. We recommend ageadjusted CCI be used in comparative clinical research studies on the surgical outcomes across surgeons and hospitals. Copyright Southeastern Surgical Congress. All rights reserved.",
author = "Park, {Han A.} and Seong-Heum Park and Cho, {Sung Il} and You-Jin Jang and Kim, {Jong Han} and Sungsoo Park and Mok, {Young Jae} and Kim, {Chong Suk}",
year = "2013",
month = "1",
day = "1",
language = "English",
volume = "79",
pages = "40--48",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "1",

}

TY - JOUR

T1 - Impact of age and comorbidity on the short-term surgical outcome after laparoscopy-assisted distal gastrectomy for adenocarcinoma

AU - Park, Han A.

AU - Park, Seong-Heum

AU - Cho, Sung Il

AU - Jang, You-Jin

AU - Kim, Jong Han

AU - Park, Sungsoo

AU - Mok, Young Jae

AU - Kim, Chong Suk

PY - 2013/1/1

Y1 - 2013/1/1

N2 - The aim of this study was to determine whether age and comorbidity are valuable risk factors of the short-term surgical outcome after laparoscopy-assisted distal gastrectomy (LADG) in patients with adenocarcinoma. A series of 387 patients who underwent LADG at three university hospitals between March 2006 and December 2010 were retrospectively studied. To compare the short-term surgical outcomes of LADG of elderly patients with those of younger patients, patients were categorized into an elderly group (older than 70 years of age) and a younger group (70 years of age or younger). For another comparative analysis to identify risk factors of postoperative complications after LADG, patients were categorized into two groups: those with complications and those without complications. With the exception of sex ratio and comorbidity rate, two age groups were nonsignificantly different in terms of demographic, operative, pathologic, and short-term surgical outcome data. Our data support the safety and feasibility of LADG in elderly patients. However, our data show that comorbidity is an important predictor of postoperative systemic complications after LADG. Patients with an age-adjusted Charlson comorbidity index (CCI) of 3 or greater were found to be at a greater risk of developing systemic complications, which suggests that ageadjusted CCI is a useful predictor of systemic complications after LADG and that it could be used routinely for the perioperative care of aged patients with comorbidity. We recommend ageadjusted CCI be used in comparative clinical research studies on the surgical outcomes across surgeons and hospitals. Copyright Southeastern Surgical Congress. All rights reserved.

AB - The aim of this study was to determine whether age and comorbidity are valuable risk factors of the short-term surgical outcome after laparoscopy-assisted distal gastrectomy (LADG) in patients with adenocarcinoma. A series of 387 patients who underwent LADG at three university hospitals between March 2006 and December 2010 were retrospectively studied. To compare the short-term surgical outcomes of LADG of elderly patients with those of younger patients, patients were categorized into an elderly group (older than 70 years of age) and a younger group (70 years of age or younger). For another comparative analysis to identify risk factors of postoperative complications after LADG, patients were categorized into two groups: those with complications and those without complications. With the exception of sex ratio and comorbidity rate, two age groups were nonsignificantly different in terms of demographic, operative, pathologic, and short-term surgical outcome data. Our data support the safety and feasibility of LADG in elderly patients. However, our data show that comorbidity is an important predictor of postoperative systemic complications after LADG. Patients with an age-adjusted Charlson comorbidity index (CCI) of 3 or greater were found to be at a greater risk of developing systemic complications, which suggests that ageadjusted CCI is a useful predictor of systemic complications after LADG and that it could be used routinely for the perioperative care of aged patients with comorbidity. We recommend ageadjusted CCI be used in comparative clinical research studies on the surgical outcomes across surgeons and hospitals. Copyright Southeastern Surgical Congress. All rights reserved.

UR - http://www.scopus.com/inward/record.url?scp=84875057123&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875057123&partnerID=8YFLogxK

M3 - Article

C2 - 23317604

AN - SCOPUS:84875057123

VL - 79

SP - 40

EP - 48

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 1

ER -