{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:39:22Z","timestamp":1792147162007,"version":"4.4.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T00:00:00Z","timestamp":1720569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate the technical safety and feasibility of gastrectomy for super\u2010elderly patients \u226585\u2010y\u2010old with gastric cancer and to clarify the risk factors for serious postoperative complications in these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2017 and 2020, 10,203 patients who underwent distal gastrectomy (DG) and 2580 patients who underwent total gastrectomy (TG) were reviewed from the Japanese National Clinical Database. All possible preoperative factors were used to explore the risk factors for serious postoperative complications in the super\u2010elderly patients with gastric cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For DG, the operative mortality rate was 1.6% (162 patients), and the rate of serious postoperative complications was 7.8% (796 patients). Similarly, the mortality rate was 2.6% (67 patients), and the rate of serious complications was 11.3% (292 patients) for TG. Based on multivariate analysis, body mass index (\u226525\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), activities of daily living (ADL) (partially dependent), ASA\u2010PS (Grade\u2009\u22653), dyspnea, ascites, history of cerebrovascular disease, serum albumin (&lt;4\u2009g\/dL), and creatinine (&gt;1.2\u2009mg\/dL) in DG, and ADL (partially dependent), ASA\u2010PS (Grade\u2009\u22653), previous percutaneous coronary intervention, dialysis, WBC (&gt;9000\u2009\u03bcL), and AST (&gt;35\u2009IU\/L) in TG were strong risk factors for serious postoperative complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study findings suggest that gastrectomy for super\u2010elderly gastric cancer patients is relatively safe and feasible. Surgeons need to pay special attention to physical status and past medical history than tumor factors for preventing serious postoperative complications in super\u2010elderly gastric cancer patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ags3.12843","type":"journal-article","created":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T03:29:45Z","timestamp":1720582185000},"page":"79-88","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Risk factors for serious postoperative complications following gastrectomy in super\u2010elderly patients \u226585\u2010years\u2010old with gastric cancer: A National Clinical Database study in Japan"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1454-2033","authenticated-orcid":false,"given":"Yoshitake","family":"Ueda","sequence":"first","affiliation":[{"name":"Academic Committee of Japan Society for Endoscopic Surgery  Tokyo Japan"},{"name":"Department of Comprehensive Surgery for Community Medicine Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1319-3158","authenticated-orcid":false,"given":"Shiori","family":"Nishimura","sequence":"additional","affiliation":[{"name":"Department of Healthcare Quality Assessment The University of Tokyo Graduate School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8475-3688","authenticated-orcid":false,"given":"Masafumi","family":"Inomata","sequence":"additional","affiliation":[{"name":"Academic Committee of Japan Society for Endoscopic Surgery  Tokyo Japan"},{"name":"Department of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0722-0343","authenticated-orcid":false,"given":"Tomonori","family":"Akagi","sequence":"additional","affiliation":[{"name":"Academic Committee of Japan Society for Endoscopic Surgery  Tokyo Japan"},{"name":"Department of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2800-8314","authenticated-orcid":false,"given":"Hidefumi","family":"Shiroshita","sequence":"additional","affiliation":[{"name":"Academic Committee of Japan Society for Endoscopic Surgery  Tokyo Japan"},{"name":"Department of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4093-816X","authenticated-orcid":false,"given":"Tsuyoshi","family":"Etoh","sequence":"additional","affiliation":[{"name":"Academic Committee of Japan Society for Endoscopic Surgery  Tokyo Japan"},{"name":"Department of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuji","family":"Takiguchi","sequence":"additional","affiliation":[{"name":"Academic Committee of Japan Society for Endoscopic Surgery  Tokyo Japan"},{"name":"Department of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences  Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiharu","family":"Sakai","sequence":"additional","affiliation":[{"name":"Academic Committee of Japan Society for Endoscopic Surgery  Tokyo Japan"},{"name":"Japanese Red Cross Osaka Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiraku","family":"Kumamaru","sequence":"additional","affiliation":[{"name":"Department of Healthcare Quality Assessment The University of Tokyo Graduate School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8600-1199","authenticated-orcid":false,"given":"Hideki","family":"Ueno","sequence":"additional","affiliation":[{"name":"Database Committee The Japanese Society of Gastroenterological Surgery  Tokyo Japan"},{"name":"Department of Surgery National Defense Medical College  Tokorozawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"The Japanese Society of Gastroenterological Surgery  Tokyo Japan"},{"name":"Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_9_3_1","unstructured":"Center for Cancer Control and Information Services.Cancer Statistics in Japan. 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