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Type and Consequences of Short-Term Complications in Colon Cancer Surgery, Focusing on the Oldest Old.
- Source :
-
Clinical colorectal cancer [Clin Colorectal Cancer] 2020 Mar; Vol. 19 (1), pp. e18-e25. Date of Electronic Publication: 2019 Nov 26. - Publication Year :
- 2020
-
Abstract
- Background: While the proportion of colon cancer occurring in older patients is expected to increase, these patients may have more complications that may lead to serious consequences. The aim of this study was assess postoperative complications and their short-term consequences in colon cancer surgery according to age.<br />Patients and Methods: Patients undergoing surgery for primary invasive colon cancer in 22 centers between June 2010 and December 2012 were included. Presurgical and surgical variables were analyzed, and in-hospital major postoperative complications and its most serious consequence (no relevant, transfusion, reintervention, admission to the intensive care unit, or death) were estimated according to age group. Chi-square tests were used to analyze the possible associations between variables and age groups.<br />Results: Data from 1976 patients, mean (range) age 68 (24-97) years, 62% men, were analyzed; 52.2% were aged > 69 years and 17.7% were aged > 79 years. The complication rate was 25.3%, reaching 30.9% in those aged ≥ 80 years. Older age was associated with a higher rate of postoperative infections during the hospital stay. The most common surgical complication in patients aged > 85 years was dehiscence of the anastomosis (11.5%). About 5% of patients with major complications died in the hospital (11.1% of those aged 80-84 years and 14.3% aged > 85 years). Among patients aged > 85 years, 38.1% required transfusions.<br />Conclusion: Older patients should receive appropriate functional preparation before the intervention, and when the risks of the intervention outweigh the potential benefits, a nonsurgical approach may be preferable.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Age Factors
Aged
Aged, 80 and over
Anastomosis, Surgical adverse effects
Blood Transfusion statistics & numerical data
Colon pathology
Colon surgery
Colonic Neoplasms mortality
Colonic Neoplasms pathology
Europe epidemiology
Female
Hospital Mortality
Humans
Length of Stay statistics & numerical data
Male
Middle Aged
Prospective Studies
Risk Factors
Surgical Wound Dehiscence etiology
Surgical Wound Dehiscence therapy
Young Adult
Colectomy adverse effects
Colonic Neoplasms surgery
Surgical Wound Dehiscence epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1938-0674
- Volume :
- 19
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Clinical colorectal cancer
- Publication Type :
- Academic Journal
- Accession number :
- 31874739
- Full Text :
- https://doi.org/10.1016/j.clcc.2019.11.003