Marek Zawadzki1, Małgorzata Krzystek-Korpacka2, Marek Rząca3, Roman Czarnecki3, Zbigniew Obuszko4, Wojciech Witkiewicz5. 1. Wojewódzki Szpital Specjalistyczne we Wrocławiu Oddział Chirurgii Onkologicznej. 2. Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu Wydział Lekarski Katedra i Zakład Biochemii Lekarskiej. 3. Wojewódzki Szpital Specjalistyczny we Wrocławiu Oddział Chirurgii Onkologicznej. 4. Wojewódzki Szpital Specjalistyczne we Wrocałwiu Oddział Chirurgii Onkologicznej. 5. Wojewódzki Szpital Specjalistyczny we Wrocławiu Ośrodek Badawczo-Rozwojowy Oddział Chirurgii Onkologicznej.
Abstract
INTRODUCTION: With the rising number of elderly patients and increasing incidence of colorectal cancer, management of geriatric patients has become the forefront of colorectal surgery. OBJECTIVES: This study aimed to investigate the short-term surgical outcomes following colorectal resection in elderly patients. MATERIALS AND METHODS: A total of 464 patients who underwent surgical resection for colorectal tumor between 2013 and 2017 were included. The patients were divided into elderly (≥75 years) and young (<75 years) group. The clinicopathological data of the patients were reviewed retrospectively. RESULTS: The elderly group constituted 30% of study population. More patients in elderly group underwent Hartmann procedure (p=0.02) and right hemicolectomy (p=0.029), and younger patients more often received low anterior resection (p=0.027). The surgical procedure took a shorter time in elderly group (p<0.01) but they stayed in the hospital one day longer (p=0.023). Postoperative complications and mortality tended to be higher in seniors (p=0.088). The younger patients showed a tendency towards a higher rate of distant metastases (p=0.053). Seniors received fewer preoperative chemoradiation than the young group (p=0.014). CONCLUSION: Older persons constitute one-third of patients treated electively in colorectal departments. Colorectal surgery in geriatric patients is associated with a prolonged hospital stay and a higher potential for complications and mortality.
INTRODUCTION: With the rising number of elderly patients and increasing incidence of colorectal cancer, management of geriatric patients has become the forefront of colorectal surgery. OBJECTIVES: This study aimed to investigate the short-term surgical outcomes following colorectal resection in elderly patients. MATERIALS AND METHODS: A total of 464 patients who underwent surgical resection for colorectal tumor between 2013 and 2017 were included. The patients were divided into elderly (≥75 years) and young (<75 years) group. The clinicopathological data of the patients were reviewed retrospectively. RESULTS: The elderly group constituted 30% of study population. More patients in elderly group underwent Hartmann procedure (p=0.02) and right hemicolectomy (p=0.029), and younger patients more often received low anterior resection (p=0.027). The surgical procedure took a shorter time in elderly group (p<0.01) but they stayed in the hospital one day longer (p=0.023). Postoperative complications and mortality tended to be higher in seniors (p=0.088). The younger patients showed a tendency towards a higher rate of distant metastases (p=0.053). Seniors received fewer preoperative chemoradiation than the young group (p=0.014). CONCLUSION: Older persons constitute one-third of patients treated electively in colorectal departments. Colorectal surgery in geriatric patients is associated with a prolonged hospital stay and a higher potential for complications and mortality.
Authors: Mariusz G Fleszar; Paulina Fortuna; Marek Zawadzki; Paweł Hodurek; Iwona Bednarz-Misa; Wojciech Witkiewicz; Małgorzata Krzystek-Korpacka Journal: J Clin Med Date: 2021-02-04 Impact factor: 4.241