Abstract
Results A total of 100 patients with the diagnosis of colorectal cancer were identified. Of these, 71 patients were 65 years of age or older. Gender: 45 Male/26 Female. The median age was 75.3 years. Sixteen (11%) patients were octogenarians. Fifty-seven patients (78%) showed pre-existing co-morbidities age-related: diabetes mellitus, cardiopulmonary disease, and chronic renal disease. Most clinical cases presented with obstructive ileum symptoms and anemia. Combined neoadjuvant therapies based on radio-chemotherapy protocols (RT-CHT) were carried out successfully in 9 patients. Surgery was performed in emergency in 4 cases (6%). Most patients had left-sides tumors and underwent to low anterior resection (29 cases: 20.5%), 4 cases of left hemicolectomy, 3 patients showed an advanced rectal tumor that required Hartman colostomy, 12 cases of sigmoidectomy, 5 abdominal perineal resection, and 2 cases of subtotal colectomy. Sixteen patients (11.4%) had right-sided tumors and underwent to right hemicolectomy. In 29 cases was realized a stoma (10 colostomies and 19 loop ileostomies). Laparoscopic approach was proposed in 11 patients, carried out in 7 cases successfully. In 14 patients, a synchronous hepatic metastasis was diagnosed, 4 lung metastasis and 1 case of peritoneal carcinosis. In 3 patients combined resection of the primary tumor together with liver metastasis was performed with cyto-reduction intent.
Highlights
Address: "G. d'Annunzio" University Chieti-Pescara, Surgical Sciences Department, Via dei Vestini 66100, Chieti, Italy * Corresponding author from XXI Annual Meeting of The Italian Society of Geriatric Surgery Terni, Italy. 4–6 December 2008
XI Annual Meeting of The Italian Society of Geriatric Surgery Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi Publication of this supplement was made possible with support from the Fondazione Cassa di Risparmio di Terni e Narni Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here. http://www.biomedcentral.com/content/pdf/1471-2318-9-S1
Combined neoadjuvant therapies based on radio-chemotherapy protocols (RT-CHT) were carried out successfully in 9 patients
Summary
Address: "G. d'Annunzio" University Chieti-Pescara, Surgical Sciences Department, Via dei Vestini 66100, Chieti, Italy * Corresponding author from XXI Annual Meeting of The Italian Society of Geriatric Surgery Terni, Italy. 4–6 December 2008. XI Annual Meeting of The Italian Society of Geriatric Surgery Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi Publication of this supplement was made possible with support from the Fondazione Cassa di Risparmio di Terni e Narni Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here. http://www.biomedcentral.com/content/pdf/1471-2318-9-S1-
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