Abstract
Complete mesocolic excision (CME) with D3 lymph node dissection is considered an oncological surgery for right colon cancer. However, there is still controversy for extensive oncological surgery in elderly patients. The aim of this study is to evaluate the safety and oncological outcomes of laparoscopic CME with D3 lymph node dissection for right colon cancer in elderly patients. Patients who underwent laparoscopic right colectomy, from 2004 to 2014, were divided into Groups A (age ≥ 70 years, n = 80) or B (age < 70 years, n = 127). Short and long-term outcomes were analysed. Basic demographics and short-term surgical outcomes were similar between groups. Among pathological outcomes, the mean number of harvested lymph nodes was significantly less in Group A. Adjuvant chemotherapy refusal rate was significantly higher in Group A. Overall and recurrence-free survival were similar between groups. We found laparoscopic CME with D3 lymph node dissection is a safe and feasible surgical option for right colon cancer in elderly patients.
Highlights
Complete mesocolic excision (CME) with D3 lymph node dissection is considered an oncological surgery for right colon cancer
An increased proportion of elderly patients suffering from colorectal cancer will be candidates for surgery
The aim of this study is to evaluate the short- and long-term outcomes of laparoscopic CME with D3 lymph node dissection of right colon cancer in elderly patients
Summary
Complete mesocolic excision (CME) with D3 lymph node dissection is considered an oncological surgery for right colon cancer. The aim of this study is to evaluate the safety and oncological outcomes of laparoscopic CME with D3 lymph node dissection for right colon cancer in elderly patients. We found laparoscopic CME with D3 lymph node dissection is a safe and feasible surgical option for right colon cancer in elderly patients. Complete mesocolic excision (CME) with D3 lymph node dissection is considered an oncological surgical option for colon cancer. There are few studies which evaluate safety and oncological impact of extensive lymph node dissection in elderly patients. The aim of this study is to evaluate the short- and long-term outcomes of laparoscopic CME with D3 lymph node dissection of right colon cancer in elderly patients
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