Key result
Elderly patients undergoing laparoscopic gastrectomy had significantly higher POSSUM physiological scores than younger patients (20.3 vs 16.1, p=0.0001), though actual postoperative complication rates did not differ significantly (29% vs 25%).
Why the study?
Are POSSUM and E-PASS scoring systems useful for preoperative risk assessment in elderly patients undergoing laparoscopic gastrectomy?
Cohort (n=57)
No
Are POSSUM and E-PASS scoring systems useful for preoperative risk assessment in elderly patients undergoing laparoscopic gastrectomy?
Absolute Event Rate: 20.3% vs 16.1%
p-value: p=0.0001
The POSSUM scoring system is a useful tool for preoperative risk assessment of postoperative complications in elderly patients undergoing laparoscopic gastrectomy.
Should not yet change preoperative risk assessment; leaves open POSSUM validity in elderly laparoscopic gastrectomy.
【目的】高齢者胃癌における腹腔鏡下胃切除術の術前リスク評価をPOSSUMとE-PASSスコアで検討した．【方法】腹腔鏡下胃切除術57例（75歳以上の高齢者群17例，75歳以下の非高齢者群40例）を対象とし，両群間でPOSSUM，E-PASSスコアを比較検討した．【結果】POSSUMのphysiological score（PS）は非高齢者群に比して有意に高齢者群は高値であったが，operative severity（OS）scoreは差がなかった．PS＜19かつOS＜11のlow risk groupは両群ともに術後合併症はなかったが，高齢者群の術後合併症５例中４例（80％），非高齢者群の10例中４例（40％）がPS≧19かつOS≧11のhigh risk groupであった．E-PASSの総合リスクスコアでは両群間に差がなかった．【結語】POSSUMスコアは高齢者の腹腔鏡下胃切除術の術前リスク評価に有用であると思われた．
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Matsutani et al. (2016) conducted a cohort in Gastric cancer (n=57). Elderly age (≥75 years) vs. Younger age (<75 years) was evaluated on POSSUM Physiological Score (PS) (p=0.0001). Elderly patients undergoing laparoscopic gastrectomy had significantly higher POSSUM physiological scores than younger patients (20.3 vs 16.1, p=0.0001), though actual postoperative complication rates did not differ significantly (29% vs 25%).
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