Outcomes of Distal Gastrectomy for Elderly Patients With Advanced Gastric Cancer: Comparison With Non-Elderly Patients and the Utility of Laparoscopic Distal Gastrectomy for Elderly Patients

Background As the elderly population increases, cases of advanced gastric cancer (AGC) also increase. This study aims to investigate safety and utility curative gastrectomy, as well efficacy laparoscopic for these patients. Methods We retrospectively analyzed surgical outcomes patients with cStage IB-III AGC who underwent distal gastrectomy (DG) D2 lymph node dissection in our institution. compared results between (>75 years) non-elderly (<75 years). further divided into 2 groups: those DG (LDG) open (ODG). Further, we groups. Results From January 2014 March 2019, 84 (52 32 patients). ASA was significantly higher patients; however, there no significant difference nor overall survival (OS) recurrence-free (RFS) Among 52 patients, 19 had LDG, whereas 33 ODG. The LDG group a shorter length hospital stay less amount blood loss. There RFS OS Conclusions Safety oncologic curability may be achieved AGC. safely performed ODG it is expected benefit them by achieving minimally invasive surgery.