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©The Author(s) 2023.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1739-1750
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1739
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1739
Table 1 Anatomical distribution of gastric cancer and colorectal cancer between 2001 and 2021, n (%)
Tumor location | Period 1 (n = 18) | Period 2 (n = 23) | Period 3 (n = 40) | Period 4 (n = 137) | |
GC | The cardia or gastroesophageal, junction (n = 58) | 3 (16.67%) | 5 (21.74) | 16 (40.00) | 34 (24.82) |
Stomach body (n = 50) | 5 (27.78) | 10 (43.48) | 7 (17.50) | 28 (20.44) | |
Gastric antrum (n = 91) | 10 (55.55) | 7 (30.43) | 8 (20.00) | 66 (48.18) | |
Whole stomach (n = 19) | 0 | 1 (4.35) | 9 (22.50) | 9 (6.56) | |
Tumor location | Period 1 (n = 38) | Period 2 (n = 64) | Period 3 (n = 154) | Period 4 (n = 307) | |
CRC | Ileocecal region (n = 28) | 2 (5.25) | 2 (3.13) | 3 (1.95) | 21 (6.84) |
Ascending colon or the hepatic, curvature of the colon (n = 28) | 0 | 3 (4.69) | 7 (4.55) | 18 (5.86) | |
Transverse colon (n = 28) | 1 (2.63) | 6 (9.37) | 10 (6.49) | 11 (3.58) | |
Splenic or descending colon (n = 19) | 1 (2.63) | 4 (6.25) | 3 (1.95) | 11 (3.58) | |
Sigmoid colon (n = 149) | 17 (44.75) | 23 (35.94) | 30 (19.48) | 79 (25.74) | |
Uppermost segmzent of the rectum (n = 181) | 10 (26.32) | 16 (25.00) | 60 (38.96) | 95 (30.94) | |
Lower segment of the rectum (n = 130) | 7 (18.42) | 10 (15.62) | 41 (26.62) | 72 (23.46) |
Table 2 Patients’ characteristics and perisurgical outcomes
GC (n = 218) | CRC (n = 563) | |
Age (yr) | 85-95 | 85-96 |
Sex (male/female) | 177/41 | 441/122 |
hospital stay | 19.45 ± 7.22 | 15.61 ± 6.07 |
(Post-operation, d) | ||
Comorbidity | ||
Hypertension | 194 | 510 |
Respiratory disease | 17 | 50 |
Diabetes mellitus | 29 | 61 |
ASA stage | ||
I | 11 | 25 |
II | 144 | 416 |
III | 55 | 103 |
Missed | 8 | 19 |
Procedure | ||
Open | 204 | 304 |
Laparoscopy | 14 | 219 |
Lymphadenectomy | ||
Limited | 76 | 120 |
Radical | 142 | 443 |
Resection | ||
R0 | 197 | 471 |
R1 | 21 | 92 |
Number of resected LN | 12.78 ± 5.33 | 11.44 ± 6.17 |
Operative time (mins) | 155.04 ± 69.52 | 129.90 ± 47.76 |
Blood transfusion | 148 | 157 |
Tumor size (cm) | 3.24 ± 2.03 | 4.37 ± 2.10 |
Differentiation | ||
High | 29 | 48 |
Middle | 68 | 118 |
Low | 121 | 397 |
TNM stage | ||
I | 65 | 73 |
II | 68 | 384 |
III | 85 | 106 |
Table 3 Changes in postoperative complications, n (%)
Period 1 (n = 56) | Period 2 (n = 87) | Period 3 (n = 194) | Period 4 (n = 444) | P value1 | |
Postoperative complications | 56 (100) | 80 (91.95) | 182 (93.81) | 373 (84.01) | < 0.01 |
Pulmonary | 9 (16.07) | 28 (35.00) | 73 (40.12) | 182 (48.79) | |
complications | |||||
Pleural effusion | 9 (16.07) | 8 (10.00) | 25 (13.74) | 39 (10.46) | |
Intra-abdominal infection | 6 (10.71) | 6 (7.50) | 17 (9.34) | 30 (8.04) | |
Intra-abdominal hemorrhage | 6 (10.71) | 4 (5.00) | 11 (6.04) | 21 (5.64) | |
Leakage | 15 (26.79) | 16 (20.00) | 28 (15.38) | 35 (9.38) | |
Wound infection | 8 (14.30) | 9 (11.25) | 13 (7.14) | 33 (8.845) | |
Others2 | 3 (5.35) | 9 (11.25) | 15 (8.24) | 33 (8.845) | |
Operative mortality3 | 18 (32.14) | 17 (19.54) | 29 (14.95) | 40 (9.01) | < 0.01 |
- Citation: Chen K, Li M, Xu R, Zheng PP, Chen MD, Zhu L, Wang WB, Wang ZG. Changing trends in gastric and colorectal cancer among surgical patients over 85 years old: A multicenter retrospective study, 2001–2021. World J Gastrointest Surg 2023; 15(8): 1739-1750
- URL: https://www.wjgnet.com/1948-9366/full/v15/i8/1739.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i8.1739