Outcome of Colorectal Surgery in Elderly Populations

Shalaby, Mostafa; Lorenzo, Nicola Di; Franceschilli, Luana; Perrone, Federico; Angelucci, Giulio P.; Quareisma, Silvia; Gaspari, Achille; Sileri, Pierpaolo

doi:10.3393/ac.2016.32.4.139

Cited by 15 publications

(13 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous reports demonstrated similar results [22–33]. On the other hands, the details of surgical procedure were different between the elderly and non-elderly patients.…”

Section: Discussionsupporting

confidence: 56%

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)

et al. 2017

View full text Add to dashboard Cite

BackgroundThe short-term outcomes of laparoscopic-assisted surgery for colorectal cancer (LAC) have not been fully evaluated in elderly patients. The aim of this study was to compare the short term surgical outcomes of LAC between the patients older than 75 years and those with non-elderly patients.MethodsThis retrospective multi-institutional study selected patients who underwent LAC between April 2013 and March 2014 at Yokohama City University Hospital and its related general hospitals. The patients were categorized into two groups: elderly patients (>75 years of age: group A) and non-elderly patients (<75 years of age: group B). Surgical outcomes and post operative complications were compared between the two groups.ResultsA total of 237 patients were evaluated in the present study. Eighty-four patients were classified into group A, and 153 into group B. Preoperative clinicopathological outcomes demonstrated no significant differences except for the ASA score. When comparing the surgical outcomes between group A and group B, the rate of conversion to open procedure (3.6% vs 5.2%, P = 0.750), median operation time (232 min vs 232 min, P = 0.320), median blood loss (20 ml vs 12 ml, P = 0.350). The differences were not significantly different in the surgical outcomes. The incidences of > grade 2 post operative surgical complications were similar between two groups ((19.0% vs 15.7%, p = 0.587). No mortality was observed in this study. The length of postoperative hospital stay was also similar (10 days vs 10 days, p = 0.350).ConclusionsThe present study suggested that LAC is safe and feasible, regardless of the age of the patient, especially for elderly patients who may be candidates for colon cancer surgery.

show abstract

“…Previous reports demonstrated similar results [22–33]. On the other hands, the details of surgical procedure were different between the elderly and non-elderly patients.…”

Section: Discussionsupporting

confidence: 56%

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)

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Since most of the patients are in the geriatric age group, morbidity and mortality are often seen in the postoperative follow-up period. [10] In this study, the mean age of the patients was 68 years. In this study, not all subjects underwent elective operations.…”

Section: Discussionmentioning

confidence: 84%

Can the C-reactive protein-to-plasma albumin ratio be an alternative scoring to show mortality and morbidity in patients with colorectal cancer?

Şahiner

Yıldırım

2020

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: This study aims to demonstrate the sensitivity and specificity of C-reactive protein to plasma albumin (CRP/ALB) ratio in predicting morbidity and mortality in patients operated for colorectal cancer followed up in the intensive care unit by comparing it with current scoring systems. METHODS: The data of patients who underwent surgery for colorectal cancer and hospitalized in the intensive care unit between 2015-2018 with available data were retrospectively analyzed in this study. The CRP/ALB ratio, the physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) prepared for both gastrointestinal and colorectal surgery, and the Association of Coloproctology of Great Britain and Ireland (ACPGBI-CRC) scoring system prepared for colorectal patients, were compared to determine their success in predicting mortality and morbidity. RESULTS: A total of 119 patients were included in this study. Mortality was observed in nine patients and morbidity was observed in 38 patients. When compared with P-POSSUM, which is the only scoring system showing morbidity, the CRP/ALB ratio was found to have a high prediction accuracy. The C reactive protein to plasma albumin ratio values was found to have lower power than P-POSSUM, CR-POSSUM and ACPGBI-CRC. CONCLUSION: Although scoring systems are useful in predicting morbidity and mortality in colorectal patients, they are difficult to use in practice since they include many parameters. that the findings obtained in this study suggest that the CRP/ALB ratio, which can be calculated without any additional cost, may help the clinician predict mortality and especially morbidity.

show abstract

“…Comorbidity that positively correlates with increasing age is more likely to represent the decisive factor for postoperative results in general and specifically subsequent to colorectal resections than patients' age alone 12,16 . This hypothesis was supported by data in this study taken from the initiation phase of our RCS program demonstrating patients' ASA-scores rather than age at time of oncological colorectal resection to correlate with duration of post-surgical ICU-stay and rate of pneumonia.…”

Section: Discussionmentioning

confidence: 99%

“…Concerning the impact of age on postoperative outcome after major colorectal surgery discussion remains controversial 11 . However, rather than age alone pre-existing comorbidity seems to be an important predictor for the outcome following colorectal surgery in elderly patients 12 .…”

mentioning

confidence: 99%

Impact of ASA-score, age and learning curve on early outcome in the initiation phase of an oncological robotic colorectal program

Sarikaya

Benhidjeb

Iosivan

et al. 2020

Sci Rep

View full text Add to dashboard Cite

The ASA score is known to be an independent predictor of complications and mortality following colorectal surgery. We evaluated early outcome in the initiation phase of a robotic oncological colorectal resection program in dependence of comorbidity and learning curve. 43 consecutive colorectal cancer patients (median age: 74 years) who underwent robotic surgery were firstly analysed defined by physical status (group A = ASA1 + 2; group B = ASA3). Secondly, outcome was evaluated relating to surgery date (group E: early phase; group L: late phase). There were no differences among groups A and B with regard to gender, BMI, skin-to-skin operative times (STS), N- and M-status, hospital-stay as well as overall rate of complications according to Dindo-Clavien and no one-year mortality. GroupA when compared to group B demonstrated significantly lower mean age (65.5 years ± 11.4 years vs 75.8 years ± 8.9 years), T-stage and ICU-stay. When separately analyzed for patients age ICU-stay was comparable (> 75 years vs. < 75 years). Group E and L demonstrated comparable characteristics and early outcome except more frequent lymphatic fistulas in group E. STS was reduced in group L compared to group E. Beyond learning curve aspects in our series, we could demonstrate that patient’s physical condition according to ASA rather than age may have an impact on early outcome in the initial phase of a robotic oncological colorectal program.

show abstract

Outcome of Colorectal Surgery in Elderly Populations

Cited by 15 publications

References 14 publications

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)

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)

Can the C-reactive protein-to-plasma albumin ratio be an alternative scoring to show mortality and morbidity in patients with colorectal cancer?

Impact of ASA-score, age and learning curve on early outcome in the initiation phase of an oncological robotic colorectal program

Contact Info

Product

Resources

About