Laparoscopic vs. Open Colectomies in Octogenarians: A Case-Matched Control Study

Vignali, Andrea; Palo, S. Di; Tamburini, Andrea; Radaelli, Giovanni; Orsenigo, E.; Staudacher, C.

doi:10.1007/s10350-005-0147-0

Cited by 122 publications

(138 citation statements)

References 23 publications

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“…Laparoscopic RH in an elderly population is feasible and safe and our results would support the evidence from previous studies (13)(14)(15)(16). However, we found no evidence to suggest that it is better than open RH and think that the decision regarding the method of operation should reflect surgeon expertise, patient co-morbidities and the necessity to perform extended resections.…”

Section: Resultssupporting

confidence: 75%

Laparoscopic or open hemicolectomy for elderly patients with right colon cancer? A retrospective analysis

Guida¹

2015

GCHIR

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Section: Resultssupporting

confidence: 75%

Laparoscopic or open hemicolectomy for elderly patients with right colon cancer? A retrospective analysis

Guida¹

2015

GCHIR

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“…The literature suggests that laparoscopic colorectal surgery may be proposed in elderly patients with postoperative outcomes and advantages similar to in younger patients. [11][12][13][14] In the present study, elderly patients were less than half as likely to receive adjuvant chemotherapy. Interestingly, there was no difference in the rates of radiation therapy among eligible patients with rectal cancer.…”

Section: Discussionmentioning

confidence: 90%

Colorectal Cancer Surgery in Elderly Patients: Presentation, Treatment, and Outcomes

Devon

Vergara-Fernández

Victor

et al. 2009

Diseases of the Colon &Amp; Rectum

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“…25,26 Readmission rates, on the other hand, are not often reported. LOS can be regarded as a performance marker and has been described as 'an effective and simple method of measuring the quality of care'.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of the very elderly undergoing enhanced recovery programmes in elective colorectal surgery

Khan

Pandey

2016

annals

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INTRODUCTION Enhanced recovery programmes (ERPs) have been shown to improve short-term outcomes after major colorectal surgery. Benefits of the ERP in patients who are very elderly (VE) are less well understood. We aimed to evaluate the role of the ERP in the VE population, which for the purpose of this study was defined as any patient aged 75 years or over. METHODS A prospectively compiled database was used to identify all patients aged ≥75 years who underwent elective colorectal resection in our unit between January 2011 and September 2012. These data were analysed to study the short-term outcomes in these patients and compared with those of patients aged <75 years. RESULTS Overall, 352 patients underwent elective surgery during this period; 106 were identified as VE. The median length of stay (LOS) in the VE group was 7 days (5 days in non-VE group; p=0.002). Two-thirds (62%) underwent laparoscopic surgery. The median LOS of VE patients undergoing laparoscopic surgery was 6 days (11 days for open surgery; p=0.003). A third (33%) of the VE cohort was discharged by day 5. Of these patients, 85% underwent laparoscopic surgery. There was no statistical difference in overall complication rates (VE vs non-VE). CONCLUSIONS Accepting that some VE patients may stay in hospital for longer, this study supports our current policy of including everyone in the ERP regardless of age. Patients undergoing laparoscopic surgery appear to benefit, with a shorter LOS. Further large scale trials are required to support the results of this study and to identify long-term outcomes.

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Laparoscopic vs. Open Colectomies in Octogenarians: A Case-Matched Control Study

Abstract: Laparoscopic colectomy for cancer in octogenarians is safe and beneficial including preservation of postoperative independence and a reduction of length of hospital stay.

Cited by 122 publications

References 23 publications

Laparoscopic or open hemicolectomy for elderly patients with right colon cancer? A retrospective analysis

Laparoscopic or open hemicolectomy for elderly patients with right colon cancer? A retrospective analysis

Colorectal Cancer Surgery in Elderly Patients: Presentation, Treatment, and Outcomes

Clinical outcomes of the very elderly undergoing enhanced recovery programmes in elective colorectal surgery

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