Lymphadenectomy in Elderly/high Risk Patients: Should It Be Different?

Overview

Journal Transl Gastroenterol Hepatol

Publisher AME Publishing Company

Specialty Gastroenterology

Date 2017 Feb 21

PMID 28217755

Citations 7

Authors

Laura Ruspi

Federica Galli

Vincenzo Pappalardo

Davide Inversini

Francesco Martignoni

Luigi Boni

Gianlorenzo Dionigi

Stefano Rausei

Affiliations

Soon will be listed here.

Abstract

The global aging of population will lead a greater number of elderly patients to undergo surgical procedure in a near future. Concerning gastric cancer, the impact of lymphadenectomy on survival has been demonstrated in RCTs, and extended lymphadenectomy is now considered as gold standard of treatment in non-early tumors. However, the role of age as a prognostic factor and the benefit of extended surgery in elderly/high-risk patients are not clearly defined yet. From our revision of literature, it seems that surgery for gastric cancer may have a further tailorization, considering not only the stage of disease, but also patients' age and comorbidities.

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