Early outcomes of colon laparoscopic resection in the elderly patients compared with the younger

Abstract

BackgroundThe aim of this study was to define any benefits in terms of early outcome for laparoscopic colectomy in patients over 75 years old (OP) compared with the outcomes of a younger populations (YP).MethodsForty elderly patients undergoing laparoscopic colectomy for colorectal cancer between 2007-2011 were studied, the patients are divided for gender, age, year of surgery, site of cancer, and comorbidity on admission and compared with 40 younger patients.Results and discussionMean (standard deviation) age was 81.3 in OP and 68.3 YP Conversion rate was the same between the two groups. There was no difference in operative mean time . The overall mortality rate was 0% percent. The surgical morbidity rate was the same but there was an increased in cardiologic e bronchopneumonia complications in older population. Patients treated with laparoscopic approach had a faster recovery of bowel function and a significant reduction of the mean length of hospital stay not age related. Laparoscopy allowed a better preservation of postoperative independence status.ConclusionsLaparoscopic colectomy for cancer in elderly patients is safe and beneficial including preservation of postoperative independence and a reduction of length of hospital stay.

Using Frailty to Predict Who Will Fail Early Discharge After Laparoscopic Colorectal Surgery With an Established Recovery Pathway

“…Previous studies have demonstrated short-term advantages of laparoscopic colorectal resection in the elderly population, including a reduction in the length of hospital stay, intraoperative blood loss, time to return of normal bowel function, incidence of postoperative cardiac complications, and wound infections. [4][5][6][7][8][9][10] Despite using laparoscopy and enhanced recovery pathways (eRPs), some elderly patients are not ready for early discharge. frailty may be a major factor.…”

Laparoscopic Surgery for Rectal Cancer after Preoperative Chemoradiation in Elderly Patients

“…This procedure should be used selectively in older patients with limited cardiopulmonary reserves. Several studies report that, with advancement of anesthetic and surgical techniques, laparoscopic colorectal Bottino et al 8 compared postoperative outcomes in two groups divided according to the age of 75 years. Conversion rate to open surgery was the same between the two groups.…”

“…6,7 With advancement of laparoscopic techniques, several studies show that laparoscopic colorectal surgery is a safe and feasible procedure, even in elderly patients. 8,9 However, the safety of laparoscopic surgery in elderly patients after preoperative chemoradiation is unknown. The aim of this study was to evaluate the safety of laparoscopic surgery for rectal cancer after preoperative chemoradiation in elderly patients.…”

Potentially resectable metastatic colorectal cancer: An individualized approach to conversion therapy

“…Several studies, mainly retrospective series, suggest that both surgical and medical treatments in this population are as safe and effective as in the younger population [ [42], [43], [44]], but data on an integrated conversion strategy are lacking. The current evidence supports treatment for fit elderly patients, who can achieve similar outcomes to that of younger patients [45].…”