Yes!!! Depending on circumstance of indication and type of reconstruction option, Roux en Y association, post-operation complication syndromes of adaptation & etc.
I would disagree with the above response. In most studies examining risk factors influencing outcomes of major abdominal surgery, age has not been demonstrated to be an independent risk factor by multivariate analysis. In general, age serves as a surrogate marker for the presence of comorbid conditions which are the actual source of increased surgical risk.
In addition, as life expectancy rises, the age cutoff which is used to define "elderly" in most studies has shifted from >65 years old to >75 years old.
In my opinion, as long as medical comorbid conditions do not preclude surgery, age alone should not be used as the deciding factor in offering patients gastrectomy for gastric cancer.
Age is not considered as a factor in treating any malignancy including ca stomach once oncological principles are taken into consideration while advocating treatment strategy especially surgery which is the most important in treatment of a patient with ca stomach.The best tumour cytoreduction is achieved by surgery.Considering the epidiomiology of ca stomach,we have found better results in olds than young in whom ca stomach presents usually in advanced undifferentiated tumour form, difficult to achieve a curative resection and avoid recurrence compared to older patients.
In our practice,old age isnot an exclusion criteria to deprive our patients with proximal gastric cancer from total gastrectomy and although with increasing of age,medical comorbidities rise, but they are the background comorbid conditions of patients that will change the outcome not age .
Mehrdad Azmi .Cancer institute of Tehran medical university
I rarely meet the patient with gastric cancer younger than 65, so I personally cannot detect any difference but agree completely with Dr. Kim not only for gastric cancer operative outcomes, but generally.
Age > or < to 65 is not an independent risk factor for surgical outcome in gastric cancer surgery in the majority of literature series. Nonetheless, age >65 years may be associated with a higher rate of comorbidities that may cause an increased incidence of postoperative complicantions in slected high risk series of patients.
Age is not an independent risk factor for surgical outcomes, however in someone who is elderly and has significant co-morbidities, the benefits of doing a text-book type radical D2/D3 total gastrectomy should be weighed against the risks associated with increased operating time, post-op morbidity and mortality. Hence a less radical approach can be undertaken in selected elderly patients.
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