The dark side of laparoscopic surgery for colorectal cancer patients aged 75 years or older
| Autor: | Jinn-Shiun Chen, Chien-Yuh Yeh, Pao-Shiu Hsieh, Hsin-Yuan Hung, Geng-Pin Lin, Cheng-Chou Lai, Jy-Ming Chiang, Sum-Fu Chiang, Yau-Tong You, Jeng-Fu You, Yu-Ren Hsu, Yih-Jong Chern, Reiping Tang, Wen-Sy Tsai |
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| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
Male medicine.medical_specialty Colorectal cancer medicine.medical_treatment Taiwan Anastomotic Leak Anastomosis 03 medical and health sciences 0302 clinical medicine Postoperative Complications Internal medicine Medicine Humans In patient Laparoscopy Colectomy Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Open surgery Mortality rate Patient Selection Gastroenterology Age Factors Hepatology Length of Stay medicine.disease Surgery Treatment Outcome 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female Risk Adjustment business Colorectal Neoplasms |
| Zdroj: | International journal of colorectal disease. 33(10) |
| ISSN: | 1432-1262 |
| Popis: | The rate of postoperative morbidity and mortality is reportedly high in patients aged ≥ 75 years with colorectal cancer (CRC). In such patients, a comparison of the short-term outcome between open method and laparoscopy has not been clearly defined in Taiwan. We aimed to compare postoperative morbidity and mortality parameters after open method and laparoscopy in CRC patients aged ≥ 75 years. We retrospectively analyzed patients who underwent surgery for CRC from February 2009 to September 2015 at the Linkou Chang Gung Memorial Hospital in Taiwan and analyzed their clinicopathological factors. Postoperative morbidity and mortality were analyzed for evaluating if laparoscopic surgery offers more favorable outcomes than open surgery in the elderly. A total of 1133 patients were enrolled and analyzed in this study; they were divided into two groups (open method vs. laparoscopy = 797 vs. 336). The anastomotic leakage rate was significantly higher in the laparoscopy group than in the open method group (3.3 vs. 0.9%, p = 0.003). Overall postoperative morbidity and mortality rates showed no significant difference between these two groups. Postoperative hospital stay was significantly shorter in the laparoscopy group than in the open method group (10.4 ± 8.7 vs. 13.8 ± 13.5 days, p |
| Databáze: | OpenAIRE |
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