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The dark side of laparoscopic surgery for colorectal cancer patients aged 75 years or older
- Source :
- International journal of colorectal disease. 33(10)
- Publication Year :
- 2018
-
Abstract
- The rate of postoperative morbidity and mortality is reportedly high in patients aged ≥ 75 years with colorectal cancer (CRC). In such patients, a comparison of the short-term outcome between open method and laparoscopy has not been clearly defined in Taiwan. We aimed to compare postoperative morbidity and mortality parameters after open method and laparoscopy in CRC patients aged ≥ 75 years. We retrospectively analyzed patients who underwent surgery for CRC from February 2009 to September 2015 at the Linkou Chang Gung Memorial Hospital in Taiwan and analyzed their clinicopathological factors. Postoperative morbidity and mortality were analyzed for evaluating if laparoscopic surgery offers more favorable outcomes than open surgery in the elderly. A total of 1133 patients were enrolled and analyzed in this study; they were divided into two groups (open method vs. laparoscopy = 797 vs. 336). The anastomotic leakage rate was significantly higher in the laparoscopy group than in the open method group (3.3 vs. 0.9%, p = 0.003). Overall postoperative morbidity and mortality rates showed no significant difference between these two groups. Postoperative hospital stay was significantly shorter in the laparoscopy group than in the open method group (10.4 ± 8.7 vs. 13.8 ± 13.5 days, p
- Subjects :
- Laparoscopic surgery
Male
medicine.medical_specialty
Colorectal cancer
medicine.medical_treatment
Taiwan
Anastomotic Leak
Anastomosis
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Internal medicine
Medicine
Humans
In patient
Laparoscopy
Colectomy
Aged
Retrospective Studies
Aged, 80 and over
medicine.diagnostic_test
business.industry
Open surgery
Mortality rate
Patient Selection
Gastroenterology
Age Factors
Hepatology
Length of Stay
medicine.disease
Surgery
Treatment Outcome
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Female
Risk Adjustment
business
Colorectal Neoplasms
Subjects
Details
- ISSN :
- 14321262
- Volume :
- 33
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- International journal of colorectal disease
- Accession number :
- edsair.doi.dedup.....229e82dc55155cd920a4e315e5b65ed1