Laparoscopic Resection of Colorectal Cancer in Elderly Patients

Fiscon, Valentino; Portale, Giuseppe; Migliorini, Giovanni; Frigo, Flavio

doi:10.1177/030089161009600511

Cited by 15 publications

(16 citation statements)

References 15 publications

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“…The rate of overall morbidity in the present study was 16.4% (85 of 519 patients) and it is comparable with other series in the literature [1112152123]. Surgical morbidity and medical morbidity were similar in both the young and elderly groups.…”

Section: Discussionsupporting

confidence: 88%

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Laparoscopic surgery for colorectal cancer in patients over 80 years of age: the morbidity outcomes

Lim

Kim

2017

Ann Surg Treat Res

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PurposeThe aim of this study was to compare the outcomes between patients under 60 years of age and older patients over 80 years of age who underwent laparoscopic colorectal surgery with colorectal cancer.MethodsA retrospective analysis of 519 colorectal patients who underwent laparoscopic colorectal surgery for colorectal adenocarcinoma between January 2007 and December 2012 was collected and categorized into 2 groups of patients, those under 60 years of age (n = 404) and those over 80 years of age (n = 115).ResultsThe group of patients over 80 years of age had a significantly higher ASA physical status classification (P < 0.001), more preoperative comorbidities (P < 0.001), had a tendency towards more tumors in a colonic location (P = 0.034), and more advanced American Joint Committee on Cancer TNM stage (P = 0.001). A higher proportion of right hemicolectomy and abdominoperineal resection was performed and more transfusions were required in the group of patients over 80 years of age (P = 0.002 and P = 0.001, respectively). There were no significant differences in operative time, conversion rate, resection margins, and numbers of harvested lymph nodes, hospital stay, and morbidity between the 2 groups. No postoperative mortality was found in the present study. The 3-year DFS for over 80 years age group and under 60 years age group were 73.5% and 73.9%, respectively (P = 0.770).ConclusionLaparoscopic colorectal surgery was effective and safe for elderly patients over 80 years of age and resulted in postoperative outcomes similar to those in younger patients. The postoperative morbidity after laparoscopic colorectal cancer surgery was not increased in over 80 years of age.

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Section: Discussionsupporting

confidence: 88%

“…The definition of the elderly was not clearly established in studies; patients older than 65 years [17], 70 years [2122], 75 years [11132324], octogenarians [5121925], and nonagenarians [5] were defined as the elderly groups in the previously published reports.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for colorectal cancer in patients over 80 years of age: the morbidity outcomes

Lim

Kim

2017

Ann Surg Treat Res

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“…40 In addition, clinical condition (American Classification of Anesthesiologists classification) is frequently impaired among elderly patients with GI cancer affecting postoperative outcome. 42 Given the physical and mental impairment of elderly cancer patients, oncogeriatric patients will even benefit more from a dedicated multidisciplinary approach. 43 The Preoperative Assessment of Cancer in the Elderly (PACE), which incorporates validated instruments, represents a useful tool in evaluating oncogeriatric fitness prior to surgery in elderly colorectal cancer patients, and its use may well be considered in surgical practice.…”

Section: Discussionmentioning

confidence: 99%

Influence of Comorbidity and Age on 1-, 2-, and 3-Month Postoperative Mortality Rates in Gastrointestinal Cancer Patients

et al. 2012

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“…These procedures, when used for elderly patients, must be selected with care, considering the magnitude of the surgery and the predicted risk of hospital mortality (9,10); however, postoperative morbidity and mortality increase with age (11)(12)(13)(14)(15). Several studies have reported that MLS demonstrates oncological results and surgical outcomes comparable to that of open surgery (16)(17)(18)(19)(20)(21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

Single-port versus multi-port laparoscopic surgery for colon cancer in elderly patients

et al. 2016

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Abstract. The safety of single-incision laparoscopic surgery (SLS) in elderly patients with colorectal cancer has not been established. The aim of the current study was to compare the outcomes of SLS and multi-port laparoscopic surgery (MLS) and to assess the feasibility of SLS in colorectal cancer patients aged ≥70 years. A retrospective case-control study of colon cancer patients undergoing elective surgical intervention between 2011 and 2014 was conducted. A total of 129 patients with colon cancer underwent surgery and were included in the analysis. Data regarding patient demographics, surgical variables, oncological outcomes and short-term outcomes were evaluated for statistical significance to compare MLS (n=79) and SLS (n=50) in colon cancer patients. No significant differences were observed in patient characteristics. No case required re-admission within 30 days post surgery. The mean surgery times were similar for the MLS and SLS groups when cases with left and right hemicolectomies were combined (207.7 and 215.9 min, respectively; P= 0.47). In addition, overall perioperative outcomes, including blood loss, number of lymph nodes harvested, size of the surgical margin and complications, were similar between these groups. Thus, we suggest that SLS can be performed safely in elderly patients with colon cancer.

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Laparoscopic Resection of Colorectal Cancer in Elderly Patients

Cited by 15 publications

References 15 publications

Laparoscopic surgery for colorectal cancer in patients over 80 years of age: the morbidity outcomes

Laparoscopic surgery for colorectal cancer in patients over 80 years of age: the morbidity outcomes

Influence of Comorbidity and Age on 1-, 2-, and 3-Month Postoperative Mortality Rates in Gastrointestinal Cancer Patients

Single-port versus multi-port laparoscopic surgery for colon cancer in elderly patients

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