Laparoscopic Resection for Colorectal Cancer in Octogenarians: Results in a Decade

Abstract

Our experience confirms that laparoscopic colorectal cancer resection in selected octogenarians is safe and feasible. Aside from the obvious short-term benefits, the long-term oncologic outcomes are favorable.

Evaluation of laparoscopic versus open colorectal surgery in elderly patients more than 70 years old: an evaluation of 727 patients

“…Previous studies have shown that colorectal surgery in elderly patients is generally well tolerated although pre-morbid cardiopulmonary conditions do predispose to higher morbidity and mortality rates as compared to younger patients [6,23]. Laparoscopic colorectal resection is fast becoming the gold standard of treatment for both malignant and benign colorectal lesions, with improved short-term and comparable long-term outcomes when compared to the open method [1,2,24]. Improved short-term outcomes after laparoscopy have been attributed to less post-operative pain, better pulmonary function and less stress response.…”

Laparoscopic colorectal surgery is safe and benefits octogenarian patients with malignant disease: a matched case-control study comparing laparoscopic and open colorectal surgery

“…The elderly population in Singapore and the world is increasing, and with it, the incidence of colorectal cancer in this age group [1,2].…”

Laparoscopic colectomy is safe and leads to a significantly shorter hospital stay for octogenarians

“…It is thus conceivable that findings demonstrating the safety of a laparoscopic L Previous studies have evaluated outcomes after laparoscopic colorectal surgery among elderly patients [8][9][10][11][12][13][14][15]. Current data [16][17][18][19] pertaining to outcomes of laparoscopic colectomy (LC) for octogenarians are sparse. Only one matched-control study [18] compared outcomes after LC with those after open colectomy (OC), but it was disadvantaged by small numbers of patients in both groups.…”