Abstract
BackgroundThe aim of this study was to define any benefits in terms of early outcome for laparoscopic colectomy in patients over 75 years old (OP) compared with the outcomes of a younger populations (YP).MethodsForty elderly patients undergoing laparoscopic colectomy for colorectal cancer between 2007-2011 were studied, the patients are divided for gender, age, year of surgery, site of cancer, and comorbidity on admission and compared with 40 younger patients.Results and discussionMean (standard deviation) age was 81.3 in OP and 68.3 YP Conversion rate was the same between the two groups. There was no difference in operative mean time . The overall mortality rate was 0% percent. The surgical morbidity rate was the same but there was an increased in cardiologic e bronchopneumonia complications in older population. Patients treated with laparoscopic approach had a faster recovery of bowel function and a significant reduction of the mean length of hospital stay not age related. Laparoscopy allowed a better preservation of postoperative independence status.ConclusionsLaparoscopic colectomy for cancer in elderly patients is safe and beneficial including preservation of postoperative independence and a reduction of length of hospital stay.
Highlights
The aim of this study was to define any benefits in terms of early outcome for laparoscopic colectomy in patients over 75 years old (OP) compared with the outcomes of a younger populations (YP)
A substantial amount of evidence indicating that conventional surgery in elderly patients with colorectal cancer is well tolerated and results in similar survival curves compared with younger counterparts seem to support the aforementioned findings [2,3,4,5]
* Correspondence: dimaiovittorio@hotmail.it Evangelic Hospital Villa Betania, Via Argine 604, Naples, Italy invasive surgery has been proven to reduce hospitalization, postoperative pain, and cardiopulmonary stress, to better preserve immune and metabolic responses, and to allow a more rapid return to their routine activities [6,7,8]. These findings suggest that the laparoscopic approach should appear to be the ideal surgical choice for elderly patients
Summary
The aim of this study was to define any benefits in terms of early outcome for laparoscopic colectomy in patients over 75 years old (OP) compared with the outcomes of a younger populations (YP). Life expectancy is increasing along with the number of elderly patients with surgically correctable diseases. Associated comorbid conditions, in particular, pulmonary and cardiovascular, are mainly responsible for the higher morbidity and mortality rate reported in the very elderly patient [2]. A substantial amount of evidence indicating that conventional surgery in elderly patients with colorectal cancer is well tolerated and results in similar survival curves compared with younger counterparts seem to support the aforementioned findings [2,3,4,5].
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