臨牀消化器内科 Vol.32 No.6(2-2-4)


特集名 高齢者・超高齢者消化管癌の内視鏡治療
題名 各論(2)胃癌 d.外科治療の適応と実際
発刊年月 2017年 06月
著者 大日向 玲紀 がん・感染症センター都立駒込病院外科
著者 岩崎 善毅 がん・感染症センター都立駒込病院外科
【 要旨 】 日本では,社会全体の高齢化に伴い,高齢者の胃癌症例は増加傾向である.このため,彼らに対する至適治療の確立は本邦における急務といえる.高齢者治療の難点は,加齢に伴う耐術能の低下や高率な併存疾患のために,個々の症例に応じた治療を行わなくてはならない点にある.本稿では,自験例を交え,高齢胃癌患者における胃切除術の要点を解説する.
Theme Endoscopic Treatment for Elderly Patients with Gastro‒intestinal Cancer
Title Gastrectomy for Gastric Cancer in Elderly Patients
Author Ryouki Oohinata Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital
Author Yoshiaki Iwasaki Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital
[ Summary ] The mean life expectancy is increasing in Japan. As a result, the proportion of elderly patients diagnosed with gastric cancer is also increasing. Consequently, it is imperative that appropriate treatment be established for such patients. However, selecting the correct operative procedure for them is quite difficult because of tolerability of surgery and the high incidence of comorbidities. This study aimed to illustrate a point of gastrectomy for the elderly patients with gastric cancer, investigating with our retrospective data.
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