Annals of Gastroenterological Surgery (Jan 2025)

Minimally invasive surgery versus open gastrectomy for older patients with gastric cancer: A propensity score‐matching analysis

  • Masaaki Yamamoto,
  • Takeshi Omori,
  • Yasunori Masuike,
  • Naoki Shinno,
  • Hisashi Hara,
  • Takahito Sugase,
  • Takashi Kanemura,
  • Atsushi Takeno,
  • Motohiro Hirao,
  • Hiroshi Miyata

DOI
https://doi.org/10.1002/ags3.12842
Journal volume & issue
Vol. 9, no. 1
pp. 69 – 78

Abstract

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Abstract Aim To compare minimally invasive and open surgery for older patients with gastric cancer. Methods This study included 464 consecutive patients with gastric cancer aged ≥75 years who underwent open or laparoscopic gastrectomy at our institution from January 2004 to December 2018. We performed propensity score‐matching and compared short‐ and long‐term outcomes between the two groups. Results After matching, 332 patients were included in the study (166 in each group). The laparoscopy group had a longer operative time, lesser blood loss, and shorter hospital stays than the open surgery group (all p 0.200). Conclusion Minimally invasive surgery for older patients with gastric cancer may be more beneficial than open gastrectomy in terms of blood loss and hospital stay.

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