Abstract
Purpose: The goal of this study was to determine if these benefits translate into decreased need for advanced post-hospital discharge care. Methods: We conducted a retrospective review of charts of patients over age of 70 who underwent non-emergent colorectal surgery at the Western Pennsylvania Hospital during the last two years. Demographic information, type of surgery, immediate post op complications and disposition at discharge were collected. Results: Between January 2006 and December 2007, 58 non emergent colorectal procedures were performed on patients over age of 70 at our institution, 33 (57%) laparoscopic and 25 (43%) open. The two groups were similar in terms of age, gender, and ASA classification. The length of hospital stay was 8.4 days for laparoscopic surgery and 11.7 days for open (P= 0.54). At discharge, 13 patients of the open group and 5 patients from the laparoscopic group required an increase in their level of care (P= 0.003). Conclusion: Laparoscopic surgery may be beneficial for the elderly person undergoing non emergent colorectal surgery especially in terms of maintenance of previous level of care requirement.
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