Objective: to evaluate the results of gastrectomy in elderly patients with gastric adenocarcinoma. Methods: a retrospective study. Results: 5 females, 42 males, F/M ratio: 1/8.4; mean age 70.26 + or - 7.03. Accompanied: hypertension 42.6 percent; cardiovascular diseases 27.7 percent; diabetic 21.3 percent. Common symptom abdominal pain 76.6 percent, weight loss 46.8 percent, hemorrhage 23.4 percent, anemia 76.6 percent. Locations: antrum, and pyloros 63.8 percent. Lesion: protruded type 55.3 percent. Histologic type: poorly differentiated 40.4 percent, well-differentiated 29.8 percent, moderately differentiated 29.8 percent. Subtotal gastrectomy 80.9 percent, total gastrectomy 19.1 percent. Postoperative complications 12,3 percent. 5-years survival rates in the patients was 19.6 percent; median overall survival 28,24 + or - 4,22 months. Conclusion: tumor size and localized tumor stage were associated with 5-year relative survival rates.
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