AI Article Synopsis
- Elderly patients (aged ≥75 years) are considered high-risk for major abdominal surgeries due to health challenges but can benefit from a specific surgical technique.
- A study compared totally laparoscopic distal gastrectomy (TLDG) with laparoscopy-assisted distal gastrectomy (LADG) in 102 gastric cancer patients, finding that while elderly patients had longer hospital stays, they did not experience more complications.
- TLDG resulted in significantly lower pain medication use post-surgery for elderly patients, suggesting it may be a more effective option for managing postoperative pain in this high-risk group.
Article Abstract
Elderly patients are often considered as high-risk for major abdominal surgery due to reduced functional reserve and increased comorbidities. We herein evaluated the efficacy of totally laparoscopic distal gastrectomy (TLDG) in elderly patients with gastric cancer by measuring the postoperative systemic responses and postoperative analgesic consumption. A total of 102 patients with gastric cancer [57 who underwent TLDG and 45 who underwent laparoscopy-assisted distal gastrectomy (LADG)] were enrolled in this study. The patients were classified as elderly (aged ≥75 years) and non-elderly (aged <75 years) groups. The surgical outcome and postoperative analgesic consumption were evaluated. The elderly group exhibited a higher incidence of comorbidities and a longer postoperative hospital stay compared with those of younger patients, although there was no difference in the incidence of postoperative complications. In addition, the total consumption of additional analgesics until postoperative day 5 in patients who underwent TLDG was significantly lower compared with that in patients who underwent LADG in the elderly group; there was no such difference in the non-elderly group. The results suggested that TLDG was better for the management of postoperative pain in elderly patients with gastric cancer, who exhibit the highest mortality rates in the adult surgical population.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4887933 | PMC |
| http://dx.doi.org/10.3892/mco.2016.843 | DOI Listing |
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