Dismal prognosis of elderly gastric cancer patients who underwent gastrectomy with American Society of Anesthesiologists (ASA) 3

Nishibeppu, Keiji; Sakuramoto, Shinichi; Matsui, Kazuaki; Ebara, Gen; Fujita, Shohei; Fujihata, Shiro; Oya, Shuichiro; Lee, Seigi; Miyawaki, Yutaka; Sugita, Hirofumi; Satô, Hiroshi; Yamashita, Keishi

doi:10.1007/s00423-022-02672-9

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…The ASA score reflects the severity of preoperative comorbidities. 12,13 It categorizes the risk of surgery based on the patient's preoperative physical condition, and divides the patient into five levels before anesthesia. The higher the level, the greater the surgical risk.…”

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confidence: 99%

Short-term outcomes of laparoscopic and robotic distal gastrectomy for gastric cancer

Xu,

Yang,

2024

Preprint

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We have read with interest the article published by Hondo N et al.1 At present, there are several minimally invasive surgical methods for the treatment of gastric cancer: Endoscopic mucosal resection (EMR) , Endoscopic submucosal dissection (ESD), Laparocopy-assisted radial gastrectomy (LARG), and Robot-assisted radical gastrectomy (RARG). LARG and RARG can not only be used for early gastric cancer, but also for the treatment of advanced gastric cancer, and they have the advantage of a wide range of surgical indications. Laparoscopic surgery also has some drawbacks, including a two-dimensional surgical field of view and limited operational freedom. In order to improve the above shortcomings, the da Vinci robotic surgical system has emerged in response to the times. The da Vinci surgical robot system is currently the most advanced high-tech platform for minimally invasive surgery internationally. It solves the limitations of traditional laparoscopy in terms of field of view and operational flexibility, and breaks through the bottleneck of limited development in traditional laparoscopic surgery. Although we believe it is a very interesting topic, we would like to offer the following points for your consideration.

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confidence: 99%

Short-term outcomes of laparoscopic and robotic distal gastrectomy for gastric cancer

Xu,

Yang,

2024

Preprint

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“…Additionally, because of the aging of society, the number of elderly persons who have GC is increasing. Postoperative long-term outcomes are poor in elderly patients because their poor physical or nutritional status increases the risk of morbidity and death (2)(3)(4)(5). Therefore, it is important to determine the optimal treatment strategies for elderly patients because of their risk of dying of causes other than their primary disease.…”

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confidence: 99%

Preoperative Osteopenia as Risk Factor for Death from Other Diseases After Gastrectomy in Elderly Patients

SHIMIZU,

MATSUNAGA,

SAKANO

et al. 2023

In Vivo

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The Prognostic Role of Prognostic Nutritional Index and Controlling Nutritional Status in Predicting Survival in Older Adults with Oncological Disease: A Systematic Review

Ferreira,

Fernandes,

Carvalho

et al. 2024

Onco

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The increase in new cancer diagnoses in the elderly calls for new, accessible, and easy-to-use prognostic tools that contribute to lowering the burden of the disease. Recognising the importance of inflammation and nutritional status in the progression of the disease, the purpose of this systematic review was to synthesise the evidence on the prognostic role of Prognostic Nutritional Index (PNI) and Controlling Nutritional Status (CONUT) in predicting survival of older adult cancer patients. A comprehensive search was conducted in PubMed and Web of Science Core Collection databases until 22 February 2024. The articles included in this review (n = 38) examined the relationships of PNI and CONUT with survival outcomes in elderly cancer patients. Despite high heterogeneity between the studies, most concluded that low PNI values are associated with poor overall survival (OS), particularly in gastric cancer patients. Most studies did not find an association between PNI and cancer-specific survival, progression-free survival, disease-free survival, recurrence-free survival, and mortality. Results regarding the prognostic role of CONUT in predicting survival were inconclusive. This study suggests that PNI could be used to predict OS in elderly cancer patients, while more studies are needed to assess the prognostic role of CONUT.

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Dismal prognosis of elderly gastric cancer patients who underwent gastrectomy with American Society of Anesthesiologists (ASA) 3

Cited by 3 publications

References 34 publications

Short-term outcomes of laparoscopic and robotic distal gastrectomy for gastric cancer

Short-term outcomes of laparoscopic and robotic distal gastrectomy for gastric cancer

Preoperative Osteopenia as Risk Factor for Death from Other Diseases After Gastrectomy in Elderly Patients

The Prognostic Role of Prognostic Nutritional Index and Controlling Nutritional Status in Predicting Survival in Older Adults with Oncological Disease: A Systematic Review

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