Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/12329
ชื่อเรื่อง: Safety of Laparoscopic Oncologic Resection in Elderly Patients with Colorectal Cancer: A Multicenter Retrospective Study Based on Perioperative Short-Term Outcomes
ผู้แต่ง: Kye B.-H.
Rookkachart T.
Kim J.-H.
Kim H.-J.
Lee Y.-S.
Lee I.-K.
Kang W.K.
Cho H.-M.
Oh S.-T.
Keywords: aged
Article
cancer staging
cancer surgery
colorectal cancer
colorectal surgery
female
human
intestine preparation
laparoscopic surgery
length of stay
lymph node dissection
major clinical study
male
medical intensive care unit
multicenter study
open surgery
patient safety
perioperative period
postoperative complication
postoperative period
priority journal
retrospective study
treatment outcome
clinical trial
colorectal tumor
laparoscopy
lymph node dissection
postoperative complication
risk factor
South Korea
very elderly
Aged
Aged, 80 and over
Colorectal Neoplasms
Female
Humans
Laparoscopy
Length of Stay
Lymph Node Excision
Male
Postoperative Complications
Postoperative Period
Retrospective Studies
Risk Factors
Seoul
Treatment Outcome
วันที่เผยแพร่: 2019
บทคัดย่อ: Objectives: Over the last century, unthinkable goals have been achieved in health care and medical sciences, leading to longer life expectancy. Although cancer affects all ages, it disproportionately targets older individuals. Thus, surgical oncologists are confronted with increasing numbers of older patients presenting with multiple chronic conditions. We intended to investigate the safety of oncologic resection in older patients with colorectal cancer (CRC) based on perioperative outcomes. Materials and Methods: We retrospectively collected and analyzed data from older patients (>85 years) who underwent curative resection for stage II or III CRC between January 2007 and August 2017 at four hospitals (St. Vincent's Hospital, Incheon St. Mary's Hospital, Seoul St. Mary's Hospital, and Yeouido St. Mary's Hospital). Results: A total of 140 patients were enrolled in this study. The mean age was 87.1, the mean stay in the intensive care unit after surgery was 1.6 ± 3.8 days, and the mean postoperative hospital stay was 10.5 ± 3.8 days, D3 lymph node dissection was performed in 67.0% of patients, and D2 lymph node dissection was performed in 33.0%. Postoperative complications occurred in 38 patients (27.9%). In the univariate analysis, the risk factors for postoperative complications were the omission of mechanical bowel preparation (P = .039) and open surgery (P = .031). Conclusions: Oncologic resection in selected older patients with CRC might be a relatively safe treatment option. In particular, a laparoscopic approach might be a safer surgical method than open surgery in older patients with CRC. © Copyright 2019, Mary Ann Liebert, Inc., publishers 2019.
URI: https://ir.swu.ac.th/jspui/handle/123456789/12329
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070209968&doi=10.1089%2flap.2019.0049&partnerID=40&md5=d31eb0658e8c2b9d067c1011238f39da
ISSN: 10926429
Appears in Collections:Scopus 1983-2021

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