PT - JOURNAL ARTICLE AU - NAOHIKO NAKAMURA AU - DAISUKE KAIDA AU - YASUTO TOMITA AU - TAKASHI MIYATA AU - TOMOHARU MIYASHITA AU - HIDETO FUJITA AU - SHINICHI KINAMI AU - NOBUHIKO UEDA AU - HIROYUKI TAKAMURA TI - Risk Factors for Overall Complications and Remote Infection After Gastrectomy in Elderly Gastric Cancer Patients AID - 10.21873/invivo.12582 DP - 2021 Sep 01 TA - In Vivo PG - 2917--2921 VI - 35 IP - 5 4099 - http://iv.iiarjournals.org/content/35/5/2917.short 4100 - http://iv.iiarjournals.org/content/35/5/2917.full SO - In Vivo2021 Sep 01; 35 AB - Background/Aim: A significant predictive factor for the occurrence of complications after gastrectomy in elderly gastric cancer patients is yet to be determined. We aimed to evaluate the clinical factors associated with overall complications including remote infection after gastrectomy in elderly gastric cancer patients. Patients and Methods: We retrospectively analyzed data of 101 patients aged over 80 years, who underwent curative gastrectomy. We analyzed the clinicopathological factors that were independently associated with the occurrence of overall complications or remote infection by a logistic regression model. Results: The overall complication rate was 24.8%. We identified pneumonia as a remote infection, and the occurrence rate of remote infections was 5.9%. On multivariate analysis, hemoglobin (<11 g/dl) and operation time (>240 min) were significantly correlated with the occurrence of overall complications. Regarding the occurrence of remote infection, performing total gastrectomy and a hemoglobin level <11 g/dl were identified as significant risk factors. Conclusion: Preoperative anemia and intraoperative factors, including the surgical procedure, could affect the occurrence of postoperative complications in elderly patients.