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Duck Hyoun Jeong 1 Article
Safety and Feasibility of a Laparoscopic Colorectal Cancer Resection in Elderly Patients
Duck Hyoun Jeong, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Nam Kyu Kim
Ann Coloproctol. 2013;29(1):22-27.   Published online February 28, 2013
DOI: https://doi.org/10.3393/ac.2013.29.1.22
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  • 21 Citations
AbstractAbstract PDF
Purpose

The aim of this study is to assess the effects of age on the short-term outcomes of a laparoscopic resection of colorectal cancer in elderly (≥75 years old), as compared with younger (<75 years old), patients.

Methods

A retrospective analysis of patients who underwent laparoscopic surgery for colorectal cancer between January 2007 and December 2009 was performed. There were two groups: age <75 years old (group A) and age ≥75 years old (group B). The perioperative outcomes between group A and group B were compared.

Results

The study included 824 patients in group A and 92 patients in group B. The body mass index (BMI) and the American Society of Anesthesiologists (ASA) score were significantly different between group B and group A (BMI: 22.5 vs. 23.5, P = 0.002; ASA score: 1.88 vs. 1.48, P = 0.001). Mean operating times were similar between the groups (325.4 minutes vs. 351.6 minutes, P = 0.07). We observed a higher overall complication rate in group B than in group A (12.0% vs. 6.2%, P = 0.047), but the number of severe complications of Accordion Severity Classification ≥3 (those that required an invasive procedure) was not significantly different between the two groups (6.5% vs. 3.4%, P = 0.142). There was no significant difference in the length of hospital stay (13.0 days vs. 12.0 days, P = 0.053).

Conclusion

Although the elderly patients had a significantly higher overall postoperative complication rate, no significant difference was seen in either the number of severe complications of Accordion Severity Classification ≥3 or in the length of hospital stay. A laparoscopic colorectal cancer resection in elderly patients, especially those aged 75 years or older, is safe and feasible.

Citations

Citations to this article as recorded by  
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  • Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients
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    C. L. Kvasnovsky, K. Adams, M. Sideris, J. Laycock, A. K. Haji, A. Haq, J. Nunoo‐Mensah, S. Papagrigoriadis
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    Soo Yun Moon, Sohee Kim, Soo Young Lee, Eon Chul Han, Sung‐Bum Kang, Seung‐Yong Jeong, Kyu Joo Park, Jae Hwan Oh
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