BACKGROUND: Laparoscopic-assisted colectomy (LAC) for colorectal cancer has been shown to improve short-term outcomes compared with open colectomy (OC) in colorectal cancer patients. However, there are a few reports that describe the efficacy of LAC in the very elderly population. We investigated whether LAC improves short-term outcomes in elderly patients, especially those 80 years of age or older. METHOD: Eighty-two consecutive elderly (80 years of age or older) patients who underwent either OC or LAC for colorectal cancer were reviewed. Continuous variables were analyzed by the Mann-Whitney U test. Categorical variables were compared by χ tests. RESULTS: Of the 82 elderly patients with colorectal cancer, 34 patients underwent OC and 48 patients had LAC. There were no significant differences in postoperative complications between the 2 groups. LAC demonstrated less blood loss, fewer days on a liquid diet, and a shorter postoperative stay in the hospital than OC. CONCLUSIONS: LAC improved short-term outcomes even in very elderly patients.
BACKGROUND: Laparoscopic-assisted colectomy (LAC) for colorectal cancer has been shown to improve short-term outcomes compared with open colectomy (OC) in colorectal cancerpatients. However, there are a few reports that describe the efficacy of LAC in the very elderly population. We investigated whether LAC improves short-term outcomes in elderly patients, especially those 80 years of age or older. METHOD: Eighty-two consecutive elderly (80 years of age or older) patients who underwent either OC or LAC for colorectal cancer were reviewed. Continuous variables were analyzed by the Mann-Whitney U test. Categorical variables were compared by χ tests. RESULTS: Of the 82 elderly patients with colorectal cancer, 34 patients underwent OC and 48 patients had LAC. There were no significant differences in postoperative complications between the 2 groups. LAC demonstrated less blood loss, fewer days on a liquid diet, and a shorter postoperative stay in the hospital than OC. CONCLUSIONS: LAC improved short-term outcomes even in very elderly patients.
Authors: Pierre Zarif; Ahmed Abdelaal Ahmed Mahmoud; Mohamed Mohamed Abdelhaq; Hany M S Mikhail; Ahmed Farag Journal: Anesthesiol Res Pract Date: 2016-03-09
Authors: Nicole M Saur; Isacco Montroni; Armin Shahrokni; Hiroko Kunitake; Fabio M Potenti; Robert C Goodacre; Bradley R Davis; Francesco Carli Journal: Dis Colon Rectum Date: 2020-11 Impact factor: 4.412