Copyright
©The Author(s) 2017.
World J Gastrointest Oncol. Oct 15, 2017; 9(10): 416-422
Published online Oct 15, 2017. doi: 10.4251/wjgo.v9.i10.416
Published online Oct 15, 2017. doi: 10.4251/wjgo.v9.i10.416
Table 1 Patient characteristics n (%)
Older group (n = 64) | Non-older group (n = 168) | P value | |
Mean age | 84.2 | 69.5 | |
Gender ratio (M/F) | 44/20 | 118/50 | NS |
No. of performance state 3 or 4 | 5 (7.8) | 4 (2.4) | |
Pre-existing comorbidity | |||
Total prevalence rates | 58 (90.6) | 123 (73.2) | 0.0042 |
Cerebral infarction | 11 (17.2) | 17 (10.1) | NS |
Cardiovascular disease | 23 (35.9) | 25 (14.9) | 0.0004 |
Respiratory disease | 8 (12.5) | 12 (7.1) | NS |
Chronic renal dysfunction | 8 (12.5) | 21 (12.5) | NS |
Liver cirrhosis | 1 (1.6) | 12 (7.1) | NS |
Diabetes | 20 (31.2) | 47 (28.0) | NS |
Hypertension | 44 (68.8) | 98 (58.3) | NS |
Senile dementia | 7 (10.9) | 14 (8.3) | NS |
Anti-coagulant therapy | 4 (6.3) | 12 (7.1) | NS |
Table 2 Tumors characteristics
Older group (n = 64) | Non-older group (n = 168) | P value | |
Location | |||
Upper | 28 | 39 | 0.019 |
Middle | 16 | 55 | NS |
Lower | 20 | 72 | NS |
Residual stomach | 0 | 2 | |
Mean tumor size | 17.5 | 15.6 | NS |
Histological type | |||
Well differentiated | 58 | 149 | NS |
Moderately differentiated | 5 | 10 | NS |
Poorly differentiated | 0 | 8 | NS |
Papillary differentiated | 1 | 1 | NS |
Category of indication | |||
Guideline lesion | 47 | 118 | NS |
Lesion included in the expanded indications | 17 | 50 | NS |
Table 3 Technical outcome n (%)
Older group (n = 64) | Non-older group (n = 168) | P value | |
En bloc resection | 63 (98.4) | 168 (100) | NS |
R0 resection | 61 (95.3) | 168 (100) | 0.03 |
Complications | |||
Intraoperative hemorrhage | 0 (0) | 0 (0) | NS |
Intraoperative perforation | 1 (1.6) | 0 (0) | NS |
Postoperative hemorrhage | 1 (1.6) | 8 (4.8) | NS |
Postoperative perforation | 0 (0) | 0 (0) | NS |
Table 4 Social and economic outcomes n (%)
Parameter | Older group (n = 64) | Non-older group (n = 168) | P value |
Worsening of the performance status | 3/64 (4.7) | 1/168 (0.6) | NS |
Mean duration of hospitalization (d) | 11.4 | 10.7 | NS |
Mean financial cost of admission (JPY) | 657040 | 574890 | NS |
- Citation: Otsuka Y, Akahoshi K, Yasunaga K, Kubokawa M, Gibo J, Osada S, Tokumaru K, Miyamoto K, Sato T, Shiratsuchi Y, Oya M, Koga H, Ihara E, Nakamura K. Clinical outcomes of Clutch Cutter endoscopic submucosal dissection for older patients with early gastric cancer. World J Gastrointest Oncol 2017; 9(10): 416-422
- URL: https://www.wjgnet.com/1948-5204/full/v9/i10/416.htm
- DOI: https://dx.doi.org/10.4251/wjgo.v9.i10.416