Laparoscopic<i>vs</i>open partial colectomy in elderly patients: Insights from the American College of Surgeons - National Surgical Quality Improvement Program database

Kannan, Umashankkar; Reddy, Vemuru Sunil K; Mukerji, Amar Nath; Parithivel, Vellore S.; Shah, Ajay; Gilchrist, Brian; Farkas, Daniel T.

doi:10.3748/wjg.v21.i45.12843

Cited by 25 publications

(7 citation statements)

References 36 publications

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“…This may be because of a high incidence of comorbid diseases (such as lower albumin and hemoglobin, as our data in Table 1 showed), reduced functional reserve, and poor tolerance to stress, and laparoscopic surgery may improve perioperative recovery and be particularly beneficial in this patient population. 19 The short-term complications seriously affect perioperative recovery. And the short-term complications that impact patient outcomes mainly include POPF, PPH, and DGE.…”

Section: Discussionmentioning

confidence: 99%

Impact of Patient Age on Morbidity and Survival Following Laparoscopic Pancreaticoduodenectomy

Meng

Xia²,

Cai³

et al. 2019

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Purposes: To present preliminary perioperative and long-term outcomes in elderly patients compared with younger patients who underwent laparoscopic pancreaticoduodenectomy (LPD).Materials and Methods: A total of 199 patients who underwent LPD were included in this study. The primary data relating to these patients were collected and analyzed in our center from October 2010 to 2017. Results:The intraoperative and postoperative information, including the rate and severity of short-term complications, pathologic outcomes, and other surgical outcomes, showed no significant differences between the 2 groups. Furthermore, the median overall survival for 2 malignant diseases of the young patients was not significantly better than the elderly.Conclusions: Our data suggest that patient age showed little influence on postoperative morbidity, mortality, and long-term survival in pancreatic adenocarcinoma and periampullary adenocarcinoma following LPD, whereas studies with larger sample sizes and longer follow-up are necessary before definitive conclusions can be made.

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Section: Discussionmentioning

confidence: 99%

Impact of Patient Age on Morbidity and Survival Following Laparoscopic Pancreaticoduodenectomy

Meng

Xia²,

Cai³

et al. 2019

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

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“…Kannan et al also observed how post-operative complications on elderly patients who had undergone laparoscopic partial colectomy were significantly fewer than in those that had undergone open partial colectomy, including every subcategory (cardiac, pulmonary, renal, and infectious). Additionally, the LS group had lower rates of unplanned return to the operating room, their LOS was shorter and 30-day mortality was also significantly lower [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

Colorectal Cancer in Elderly Patients with Surgical Indication: State of the Art, Current Management, Role of Frailty and Benefits of a Geriatric Liaison

González-Senac

Mayordomo-Cava

Macías-Valle

et al. 2021

IJERPH

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Six out of every 10 new colorectal cancer (CRC) diagnoses are in people over 65 years of age. Current standardized surgical approaches have proved to be tolerable on the elderly population, although post-operative complications are more frequent than in the younger CRC population. Frailty is common in elderly CRC patients with surgical indication, and it appears to be also associated with an increase of post-operative complications. Fast-track pathways have been developed to assure and adequate post-operative recovery, but comprehensive geriatric assessments (CGA) are still rare among the preoperative evaluation of elderly CRC patients. This review provides a thorough study of the effects that a CGA assessment and a geriatric intervention have in the prognosis of CRC elderly patients with surgical indication.

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“…Therefore, it is suitable for high-risk patients, especially those with frailty and in the elderly. In recent years, laparoscopic surgery in such high-risk populations has been reported to have fewer complications and lower mortality rates compared with open laparotomy [3–5]. Meanwhile, in patients with low cardiac or pulmonary function, a pneumoperitoneum would exacerbate cardiopulmonary function by decreasing cardiac output and pulmonary compliance [6].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic colectomy after transcatheter aortic valve implantation in an elderly patient with obstructive descending colon cancer and severe aortic stenosis: a case report

et al. 2019

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Background The demand for laparoscopic colectomy is increasing due to greater number of elderly colon cancer patients, and it is important to evaluate existing comorbidities to ensure perioperative safety. Aortic stenosis (AS) is one of the most common heart diseases in the elderly, and elderly cancer patients with severe AS may be considered ineligible for optimal cancer treatment if they cannot endure surgical aortic valve replacement (SAVR). Recently, transcatheter aortic valve implantation (TAVI) has become a valid option in patients who are high risk for SAVR. We herein present the first case of an elderly cancer patient with severe AS who underwent laparoscopic colectomy after TAVI. Case presentation An 87-year-old woman with a history of multiple cardiovascular diseases was diagnosed with obstructive descending colon cancer and initially underwent colonic stenting. However, as preoperative echocardiography revealed severe AS, she underwent TAVI prior to the colectomy to reduce perioperative risk. TAVI was chosen instead of SAVR due to high SAVR mortality risk, and laparoscopic colectomy was performed 22 days after TAVI. Her postoperative course was uneventful, and she was discharged 14 days later without any deterioration in general condition. No recurrence was observed at more than 1 year, even without adjuvant therapy. Conclusion TAVI facilitated subsequent laparoscopic colectomy in an elderly cancer patient with severe AS. Our case report shows that TAVI may enable further cancer treatment even in patients with severe AS, who may otherwise be considered not suitable for such treatments.

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Laparoscopicvsopen partial colectomy in elderly patients: Insights from the American College of Surgeons - National Surgical Quality Improvement Program database

Cited by 25 publications

References 36 publications

Impact of Patient Age on Morbidity and Survival Following Laparoscopic Pancreaticoduodenectomy

Impact of Patient Age on Morbidity and Survival Following Laparoscopic Pancreaticoduodenectomy

Colorectal Cancer in Elderly Patients with Surgical Indication: State of the Art, Current Management, Role of Frailty and Benefits of a Geriatric Liaison

Laparoscopic colectomy after transcatheter aortic valve implantation in an elderly patient with obstructive descending colon cancer and severe aortic stenosis: a case report

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