Publication:
Safety of Laparoscopic Oncologic Resection in Elderly Patients with Colorectal Cancer: A Multicenter Retrospective Study Based on Perioperative Short-Term Outcomes

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Issued Date

2019

Resource Type

Article

File Type

application/pdf

ISSN

10926429

DOI

10.1089/lap.2019.0049

Other identifier(s)

2-s2.0-85070209968

Rights Holder(s)

Scopus

Bibliographic Citation

Journal of Laparoendoscopic and Advanced Surgical Techniques. Vol 29, No.8 (2019), p.1016-1022

Suggested Citation

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. Safety of Laparoscopic Oncologic Resection in Elderly Patients with Colorectal Cancer: A Multicenter Retrospective Study Based on Perioperative Short-Term Outcomes. Journal of Laparoendoscopic and Advanced Surgical Techniques. Vol 29, No.8 (2019), p.1016-1022. doi:10.1089/lap.2019.0049 Retrieved from: https://hdl.handle.net/20.500.14740/5198

Title

Safety of Laparoscopic Oncologic Resection in Elderly Patients with Colorectal Cancer: A Multicenter Retrospective Study Based on Perioperative Short-Term Outcomes

Author(s)

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.

Abstract

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.

Subject(s)

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

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URI

https://hdl.handle.net/20.500.14740/5198

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Scopus: Year 1983-2021

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