演題抄録

一般演題 (示説)

開催概要
開催回
第53回・2015年・京都
 

The comparison of E-PASS with mE-PASS to estimate the occurrence of postoperative complications in elderly patients who undergo gastrectomy for gastric cancer

演題番号 : P52-6

[筆頭演者]
Kitano Yuuki:1 
[共同演者]
Iwatsuki Masaaki:1、Kurashige Junji:1、Izumi Daisuke:1、Kosumi Keisuke:1、Tokunaga Ryuma:1、Harda Kazuto:1、Shigaki Hironobu:1、Karashima Ryuichi:1、Baba Yoshifumi:1、Sakamoto Yasuo:1、Miyamoto Yuji:1、Yoshida Naoya:1、Baba Hideo:1

1:Department of Gastroenterological Surgery, University Hospital, Kumamoto University

 

Objectives: Owing to improvement of operative technique and perioperative management, elderly patients who undergo gastrectomy for gastric cancer (GC) have been increasing. The aim of this study is to clarify the efficacy of E-PASS and modified E-PASS (mE-PASS) in elderly patients with GC.
Methods: We retrospectively analyze the short-term outcomes of 413 patients who underwent gastrectomy for GC between 2005 and 2014. These patients are divided into two groups; non-elderly group (Group-N; 341 patients under 80 years old) and elderly group (Group-E; 72 patients aged 80 or more). We calculate the E-PASS and mE-PASS scores and evaluate the correlation between the comprehensive risk score (CRS) and the occurrence of postoperative complications.
Results: The morbidity rates are 25.5% and 31.9% in group-N and E, respectively. In the overall patient population, both the CRS of E-PASS and mE-PASS significantly correlate with the occurrence of postoperative complications (E-PASS: p<0.0001, mE-PASS: p<0.0001). In the Group-N, the CRS values are significantly higher in the patients with complication compared to those without in both scoring systems (E-PASS: p<0.0001, mE-PASS: p<0.0001). In the Group-E, although the CRS of E-PASS is significantly higher in patients with complication compared to patients without complication (p=0.0009), the CRS fixed (CRSf) of mE-PASS do not significantly correlate with the occurrence of postoperative complications (p=0.17).
Conclusion: Both E-PASS and mE-PASS are useful to predict the occurrence of postoperative complications in patients with GC. However, in the elderly patients, the CRS value of E-PASS is useful to predict the occurrence of postoperative complications because in such patient intraoperative variables such as operation time, blood loss and extent of skin incision are mandatory to influence the occurrence of postoperative complication.

キーワード

臓器別:胃・十二指腸

手法別:局所療法

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