Evaluation of short-term outcomes of laparoscopic-assisted surgery for colorectal cancer in elderly patients aged over 75 years old: a multi-institutional study (YSURG1401)

Kazama, Keisuke; Aoyama, Toru; Hayashi, Tsutomu; Yamada, Takanobu; Numata, Masakatsu; Amano, Sadao; Kamiya, Mako; Sato, Tsutomu; Yoshikawa, Takaki; Shiozawa, Manabu; Oshima, Takashi; Yukawa, Norio; Rino, Yasushi; Masuda, Munetaka

doi:10.1186/s12893-017-0229-7

Cited by 35 publications

(24 citation statements)

References 31 publications

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“…This result was probably due to adequate evaluation period and preparation to the surgery of the patients on elective oncologic surgery. Moreover, previous studies reported that laparoscopic surgery could be safely performed on elderly patients, and there were no differences in complication rates compared with those of open surgery (5,22). In our study, it was detected that there was no difference in terms of complications between the patients who underwent laparoscopic surgery and those underwent open surgery, and the survival rates were similar.…”

Section: Discussionsupporting

confidence: 65%

“…Previous studies reported higher rate of postoperative complications in elderly patients than in younger patients because the rate of comorbidities was higher in elderly patients, they more often required emergency procedures, and physiologic problems arose with increasing age (4). Recent studies reported that abdominal surgery can be safely performed in patients aged ≥70 years (5,6). The efficacy of surgical interventions in these patients should be maximized and surgery should not interfere with the possibility of curing the disease.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Lower Gastrointestinal Tract Surgery on Survival in Elderly and Octogenarian Patients

Aydin¹,

Avci²,

Tezcaner³

et al. 2018

tjgeri

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Introduction: Life expectancy has significantly increased in the last decade. The decision to perform surgery has always been challenging in elderly patients. We aimed to evaluate outcomes in patients who underwent surgery for lower gastrointestinal tract diseases and investigate factors influencing morbidity and mortality, particularly in octogenarian patients, and the effects of age on prognosis and survival in the postoperative period. Materials and Method: This study included patients aged ≥70 years who underwent lower gastrointestinal tract surgery; patients were divided into three groups as 70-75 years, 75-79 years, and ≥80 years. Age, gender, type of surgery, ASA score, length of hospital stay, morbidity, 30-day mortality, and overall survival were evaluated. Results: The surgery was performed to 598 patients due to lower gastrointestinal tract diseases. There was a significant increase in the ASA score with increasing age (Chi-square=35.472; p<0.001). The survival rate was significantly higher in patients with malignancies than in those with benign diseases, and in patients who underwent elective surgery than in those who underwent emergency surgery (p<0.001). When patients were examined according to age groups, the overall survival was similar across groups (p=0.217). Conclusion: There was no significant difference between octogenarian and younger patients for complications and survival. Thus, planned surgical interventions in elderly patients will not negatively affect survival and surgical interventions and can be safely performed in these patients.

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Section: Discussionsupporting

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Effects of Lower Gastrointestinal Tract Surgery on Survival in Elderly and Octogenarian Patients

Aydin¹,

Avci²,

Tezcaner³

et al. 2018

tjgeri

View full text Add to dashboard Cite

show abstract

“…This percentage applies primarily to clinical facilities. Literary data clearly confirm that laparoscopic procedures reduce hospitalization time, the length of incapacity to work and return to normal life, and in our case, improve the possibility of further surgical procedures on the aorta [37,38]. The biggest advantage is the mini-invasive approach itself, less trauma of the abdominal wall, less postoperative pain, less analgesics and early rehabilitation and mobilization.…”

Section: Colorectal Tumorssupporting

confidence: 73%

Abdominal Aortic Aneurysm and Malignancies

Moláček¹,

Houdek²,

Novák³

et al. 2019

Abdominal Aortic Aneurysm - From Basic Research to Clinical Practice

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Concomitant AAA and abdominal malignancy are always very complicated conditions requiring early management of both pathologies. This is undoubtedly a dilemma for a surgeon who cannot currently rely on any large randomized trials or mandatory guidelines. When making decisions, a surgeon most often relies on personal experience, the experience of his/her center and/or limited literary guidelines and recommendations. Efforts should be aimed at achieving a consensual multidisciplinary decision about which pathology requires "more acute" management. The decision-making process is easier if one of the pathologies is life-threatening, and such pathology should be managed first. In most cases, however, AAA is asymptomatic and a malignancy is found randomly, as a secondary finding during the follow-up of AAA patients, or vice versa, AAA is found randomly during the staging of cancer patients. In these cases, the therapeutic algorithm already admits several possible variants. Endovascular repair of AAA (EVAR) resulted in an absolute change in the management of these patients. EVAR can be used in simultaneous or stage procedures with minimal time delay. Also, surgical open resection is an option (simultaneously or staged). It is necessary to know the advantages and risks of all approaches.

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“…The type of the surgical approach was determined by each surgeon. In principle, laparoscopic-assisted surgery was performed by a 5-port method under general and epidural anesthesia (17). Functional end-to-end anastomosis was performed for right-sided colectomy, and the double-stapling technique was performed for left-sided colectomy and anterior resection of the rectum.…”

Section: Methodsmentioning

confidence: 99%

Preoperative evaluation of skeletal muscle mass in the risk assessment for the short‑term outcome of elderly colorectal cancer patients undergoing colectomy

et al. 2018

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Abstract. The prevalence of colorectal cancer in the elderly population is increasing; therefore, surgical interventions with a risk of potential complications are more frequently performed. The aim of the present study was to elucidate whether sarcopenia has a clinical impact on short-term outcomes, such as morbidity and hospital stay after surgery, in elderly patients with colorectal cancer. A total of 82 elderly patients undergoing colectomy for colorectal cancer between January 2011 and December 2015 in our institute were included in the study, and skeletal muscle mass was measured as total psoas area at the level of the third lumbar vertebra (L3) using enhanced computed tomography scans. The patients were divided into two subgroups, namely those with and those without sarcopenia, based on median skeletal muscle mass in men and women, and the association with complications was analyzed. A total of 40 patients (48.8%) were diagnosed with sarcopenia. The patients with sarcopenia exhibited a significantly higher incidence of total complications (55 vs. 31.0%, P=0.028) and longer hospital stay (25.9±21.2 vs. 18.2±8.5 days, P=0.039). The multivariate logistic analysis revealed that sarcopenia was an independent risk factor for postoperative surgical complications. The short-term outcomes, such as postoperative surgical complications and hospital stay, were affected by preoperative sarcopenia in elderly colorectal cancer patients. To improve the short-term outcomes of such patients, it is necessary to carefully plan the surgical procedure, perioperative care and the surgical strategy using preoperative sarcopenia assessment.

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Evaluation of short-term outcomes of laparoscopic-assisted surgery for colorectal cancer in elderly patients aged over 75 years old: a multi-institutional study (YSURG1401)

Cited by 35 publications

References 31 publications

Effects of Lower Gastrointestinal Tract Surgery on Survival in Elderly and Octogenarian Patients

Effects of Lower Gastrointestinal Tract Surgery on Survival in Elderly and Octogenarian Patients

Abdominal Aortic Aneurysm and Malignancies

Preoperative evaluation of skeletal muscle mass in the risk assessment for the short‑term outcome of elderly colorectal cancer patients undergoing colectomy

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