Elderly patients have more infectious complications following laparoscopic colorectal cancer surgery

Abstract

Older patients are more susceptible to infective complications postoperatively, particularly chest complications. Surgeons should alter their practice to reduce morbidity, such as adopting protocols requiring early physiotherapy.

Hospital costs of colorectal cancer surgery for the oldest old: A Dutch population‐based study

“…As described earlier, people older than 85 years old are a subgroup of frail patients that have a high rate of complications and mortality after colorectal cancer surgery compared to their younger counterparts . This trend was also observed in our study with a tremendous increase in mortality (+257%, P < 0.001) and severe complications (+33%, P < 0.001) (Table ).…”

Analysis of Factors Affecting Short-term Results in Elderly Patients Undergoing Elective Surgical Resection for Stage I-II Colon Cancer

“…In patients with CRC undergoing elective surgery, the rate of postoperative complications ranges widely, approximately from 33% to 57% (11)(12)(13)(14). According to a cumulative review, the most frequent complications were prolonged ileus, pneumonia, and urinary tract infections, while the main risk factors were age, male gender, ASA score, and malnutrition (15).…”

“…In patients taking anticoagulants, including vitamin K antagonists, several concomitant factors may lead to an increased risk for major hemorrhage (16). More recent studies report other predictors, including cancer stage, operative time, and blood loss (13,14). The presence of chronic pulmonary diseases is a risk factor for intraoperative complication but does not affect postoperative results, although usually prolonging hospital stay (17).…”

“…In the USA and in the European Union, the estimated CRC incidence is approximately 41 and 44 cases per 100,000 people per year, respectively (2,3). CRC primarily affects the elderly (≥65 years), who usually have several comorbidities, potentially leading to several short-and long-term operative complications (4). Unfortunately, since CRC is quite uncommon in young people, most patients are usually considered at increased risk compared to those with other types of cancers.…”

Laparoscopic surgery for colon cancer in elderly patients

“…C. Kvasnovsky и соавт. [39] на основании опыта лечения 163 больных старшего возраста сделали вывод, что у этих больных по сравнению с более молодыми повышается риск послеоперационных осложнений, в том числе инфекционных и легочных.…”