ArticleIn vivo (Athens, Greece)
Proximal
Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
12 authors.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimThe optimal extent of gastrectomy for elderly patients with upper gastric cancer (GC) remains controversial. This study compared short-term surgical outcomes and mid-term nutritional changes between proximal gastrectomy (PG) and total gastrectomy (TG) in patients aged ≥75 years. PATIENTS AND
methodsThis retrospective cohort study included 27 elderly patients with upper GC who underwent laparoscopic TG (n=13) or PG (n=14) between 2014 and 2023. Short-term outcomes included operative variables, postoperative complications, and length of hospital stay. Mid-term outcomes included reflux esophagitis, anastomotic stricture, and longitudinal changes in body weight, hemoglobin levels, and albumin levels up to 2 years postoperatively. A subgroup analysis was performed for patients aged ≥80 years.
resultsThe PG group consisted exclusively of patients with clinical T1 disease, whereas the TG group included patients with more advanced tumors. Postoperative complications occurred in 31% of patients in the TG group and 14% of patients in the PG group. The median length of postoperative hospital stay was significantly shorter in the PG group (12
conclusionPG may provide short- and mid-term functional advantages over TG in elderly patients with upper GC, while maintaining acceptable surgical safety. Function-preserving surgery should be considered for appropriately selected elderly patients.
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