{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:01:56Z","timestamp":1703721716981},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1991,9,1]],"date-time":"1991-09-01T00:00:00Z","timestamp":683683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1991,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report here the outcome of surgical treatment for gastric cancer in 54 patients over 80 years of age presenting from 1967 to 1989. The mean observation interval of the postoperative period was 24\u00a0days. In most cases, preoperative examinations revealed pulmonary, renal or cardiac disturbances. The postoperative morbidity rate was 40.7%, most commonly as a result of pulmonary complications. In the 2 patients with multiple organ disturbances, 1 died 1\u00a0day after operation following myocardial infarction and the other died of pneumonia 12\u00a0days postoperatively. Intensive care treatments were needed in the early postoperative period. The increased morbidity rate proved to be related to wide resectional procedures such as total gastrectomy, operative time in excess of 3 hours, and intraoperative blood loss &gt;300\u00a0ml (<jats:italic>p<\/jats:italic>&lt;0.05). When adjustment for confounding variables was made in the multivariate discriminant analysis, the type of surgery proved to be a major independent risk factor related to postoperative complications. The majority of tumors (92.6%) could be removed by standard resectional procedures and curative operation was feasible for 36 (66.7%) patients. There were 24 deaths due to progression of the cancer. The crude overall 5\u2010year actuarial survival rate was 23.8%, while the rate was 36.9% when correction was made for sex and age. The probability of long\u2010term survival for patients in a relatively early stage of disease (T1\u20102, N0\u20101) was statistically better than for those with a more advanced disease (T3\u20104, N2, M1). Thus, even for patients in the 8th decade of life, gastric surgery can be considered, for carefully selected patients.<\/jats:p>","DOI":"10.1007\/bf01789215","type":"journal-article","created":{"date-parts":[[2005,6,20]],"date-time":"2005-06-20T01:07:52Z","timestamp":1119229672000},"page":"642-647","source":"Crossref","is-referenced-by-count":18,"title":["Surgery for gastric carcinoma is feasible for patients over 80 years of age"],"prefix":"10.1002","volume":"15","author":[{"given":"Daisuke","family":"Korenaga","sequence":"first","affiliation":[{"name":"Second Department of Surgery Faculty of Medicine Kyushu University 3\u20101\u20101, Maidashi, Higashi\u2010ku 812 Fukuoka Japan"},{"name":"The Department of Surgery National Oita Hospital Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunao","family":"Moriguchi","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Faculty of Medicine Kyushu University 3\u20101\u20101, Maidashi, Higashi\u2010ku 812 Fukuoka Japan"},{"name":"The Department of Surgery National Oita Hospital Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideo","family":"Baba","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Faculty of Medicine Kyushu University 3\u20101\u20101, Maidashi, Higashi\u2010ku 812 Fukuoka Japan"},{"name":"The Department of Surgery National Oita Hospital Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiro","family":"Kakeji","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Faculty of Medicine Kyushu University 3\u20101\u20101, Maidashi, Higashi\u2010ku 812 Fukuoka Japan"},{"name":"The Department of Surgery National Oita Hospital Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Orita","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Faculty of Medicine Kyushu University 3\u20101\u20101, Maidashi, Higashi\u2010ku 812 Fukuoka Japan"},{"name":"The Department of Surgery National Oita Hospital Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaru","family":"Haraguchi","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Faculty of Medicine Kyushu University 3\u20101\u20101, Maidashi, Higashi\u2010ku 812 Fukuoka Japan"},{"name":"The Department of Surgery National Oita Hospital Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiko","family":"Maehara","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Faculty of Medicine Kyushu University 3\u20101\u20101, Maidashi, Higashi\u2010ku 812 Fukuoka Japan"},{"name":"The Department of Surgery National Oita Hospital Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Ueo","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Faculty of Medicine Kyushu University 3\u20101\u20101, Maidashi, Higashi\u2010ku 812 Fukuoka Japan"},{"name":"The Department of Surgery National Oita Hospital Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keizo","family":"Sugimachi","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Faculty of Medicine Kyushu University 3\u20101\u20101, Maidashi, Higashi\u2010ku 812 Fukuoka Japan"},{"name":"The Department of Surgery National Oita Hospital Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1991,9]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"388","volume-title":"World Health Statistics Annual 1987","author":"World Health Organization","year":"1988"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655804"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(83)90068-5"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800740904"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800720113"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750508"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(88)80541-5"},{"key":"e_1_2_1_9_1","first-page":"865","volume-title":"Handbuch der speziellen pathologischen Anatomie und Histologie","author":"Borrmann R.","year":"1926"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655848"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198401000-00009"},{"key":"e_1_2_1_12_1","unstructured":"Metropolitan Life Insurance Co:Desirable Weight for Adults 8th edition Documenta Geigy 1980 p.624."},{"key":"e_1_2_1_13_1","doi-asserted-by":"crossref","unstructured":"Hermanek P. 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