Literature DB >> 23515317

Outcomes of elective laparoscopic colorectal operations in octogenarians at a district general hospital in South East England.

Roland Fernandes1, Irshad Shaikh, Samer Doughan.   

Abstract

AIM: To assess the outcomes of laparoscopic colorectal cancer resection in the octogenarian population at our institution.
METHODS: Retrospective analysis of registry data accumulated prospectively were used in conjunction with the data obtained from patient notes to identify outcome data for octogenarians who had undergone elective laparoscopic colorectal cancer resection.
RESULTS: Laparoscopic colorectal cancer resections were performed in 68 octogenarians between 2003 and 2011 at our institution. Four operations (6%) were converted to an open technique. There were twelve cases of morbidity (18%) and two cases of mortality (3%). The overall median hospital stay was 8 d. The median time for a patient to be deemed surgically fit for discharge was 5 d reflecting a delay in provision of social care or stoma education.
CONCLUSION: Our results support the view that laparoscopic surgery in octogenarians is safe, feasible and with a reduced length of stay. This is well reflected in our results which are compatible with United Kingdom national figures.

Entities:  

Keywords:  Colorectal disease; Laparoscopic surgery; Morbidity; Mortality; Octogenarian

Year:  2013        PMID: 23515317      PMCID: PMC3600565          DOI: 10.4240/wjgs.v5.i1.9

Source DB:  PubMed          Journal:  World J Gastrointest Surg


  8 in total

1.  Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn's disease.

Authors:  J W Milsom; K A Hammerhofer; B Böhm; P Marcello; P Elson; V W Fazio
Journal:  Dis Colon Rectum       Date:  2001-01       Impact factor: 4.585

2.  How reliable is laparoscopic colorectal surgery compared with laparotomy for octogenarians?

Authors:  Rodrigo A Pinto; Dan Ruiz; Yair Edden; Eric G Weiss; Juan J Nogueras; Steven D Wexner
Journal:  Surg Endosc       Date:  2011-04-13       Impact factor: 4.584

3.  Laparoscopic vs. open colectomies in octogenarians: a case-matched control study.

Authors:  Andrea Vignali; Saverio Di Palo; Andrea Tamburini; Giovanni Radaelli; Elena Orsenigo; Carlo Staudacher
Journal:  Dis Colon Rectum       Date:  2005-11       Impact factor: 4.585

4.  Laparoscopic colectomy for carcinoma of the colon in octogenarians.

Authors:  Nidal Issa; Chiara Grassi; Yededia Melki; Eldad Powsner; Zeev Dreznik
Journal:  J Gastrointest Surg       Date:  2011-09-10       Impact factor: 3.452

5.  Colorectal surgery in the elderly: an audit of surgery in octogenarians.

Authors:  W H Isbister
Journal:  Aust N Z J Surg       Date:  1997-08

Review 6.  Laparoscopic surgery: an excellent approach in elderly patients.

Authors:  Diana Marie Weber
Journal:  Arch Surg       Date:  2003-10

7.  Laparoscopic resection for colorectal cancer in octogenarians: results in a decade.

Authors:  Hester Y S Cheung; C C Chung; James T K Fung; James C H Wong; Kevin K K Yau; Michael K W Li
Journal:  Dis Colon Rectum       Date:  2007-09-26       Impact factor: 4.585

8.  Laparoscopic-assisted colon resection.

Authors:  K A Zucker; D E Pitcher; D T Martin; R S Ford
Journal:  Surg Endosc       Date:  1994-01       Impact factor: 4.584

  8 in total
  3 in total

1.  Short-term outcomes between laparoscopy-assisted and open colorectomy for colorectal cancer in elderly patients: A case-matched control study.

Authors:  Zexian Chen; Xiaosheng He; Juanni Huang; Yike Zeng; Lei Lian; Xiaojian Wu; Jian Lei; Jianping Wang; Ping Lan
Journal:  Mol Clin Oncol       Date:  2015-06-24

2.  Oral antibiotics and a low-residue diet reduce the incidence of anastomotic leakage after left-sided colorectal surgery: a retrospective cohort study.

Authors:  Takafumi Nakazawa; Masashi Uchida; Takaaki Suzuki; Kohei Yamamoto; Kaori Yamazaki; Tetsuro Maruyama; Hideaki Miyauchi; Yuta Tsuruoka; Takako Nakamura; Yuki Shiko; Yohei Kawasaki; Hisahiro Matsubara; Itsuko Ishii
Journal:  Langenbecks Arch Surg       Date:  2022-06-06       Impact factor: 2.895

3.  Impact of previous midline laparotomy on the outcomes of laparoscopic intestinal resections: a case-matched study.

Authors:  Erman Aytac; Luca Stocchi; Julie De Long; Meagan M Costedio; Emre Gorgun; Hermann Kessler; Feza H Remzi
Journal:  Surg Endosc       Date:  2014-07-23       Impact factor: 4.584

  3 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.