Short-term outcomes of open versus laparoscopic surgery in elderly patients with colorectal cancer
Background Along with an aging society, the number of elderly patients with colorectal cancer treated with a surgical modality has gradually increased. Our purpose is to verify the safety and effectiveness of laparoscopic surgery for the treatment of colorectal cancer in elderly patients. Methods We compared the short-term outcomes of open versus laparoscopic surgery in patients aged 80 years or older with colorectal cancer between 2007 and 2014. Results Of 150 elderly colorectal patients, 62 patients received laparoscopic surgery, and 88 patients, open surgery. In the laparoscopic surgery group, two patients were converted to open surgery due to extensive adhesion. The amount of blood loss was smaller in patients treated with laparoscopic surgery than those with open surgery (44.0 ± 86.5 vs. 329.9 ± 482.1 ml, P < 0.01). In the laparoscopic surgery group, days until oral intake (5.3 ± 1.9 vs. 7.0 ± 3.0 days, P < 0.01) and hospital stay (17.2 ± 6.8 vs. 22.0 ± 14.0 days, P < 0.01) were shorter. Morbidity (30.6 vs. 42.0 %) and mortality (1.6 vs. 1.1 %) in laparoscopic and open surgery groups were similar. Conclusion Laparoscopic surgery in elderly patients with colorectal cancer was a safe and less invasive alternative to open surgery, with less blood loss and shorter hospital stay..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2016 |
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| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
Surgical endoscopy - 30(2016), 12 vom: 17. Okt., Seite 5550-5557 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Nishikawa, Takeshi [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Colorectal cancer |
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| Anmerkungen: |
© Springer Science+Business Media New York 2016 |
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| doi: |
10.1007/s00464-016-4921-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
OLC2106686390 |
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| 245 | 1 | 0 | |a Short-term outcomes of open versus laparoscopic surgery in elderly patients with colorectal cancer |
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| 500 | |a © Springer Science+Business Media New York 2016 | ||
| 520 | |a Background Along with an aging society, the number of elderly patients with colorectal cancer treated with a surgical modality has gradually increased. Our purpose is to verify the safety and effectiveness of laparoscopic surgery for the treatment of colorectal cancer in elderly patients. Methods We compared the short-term outcomes of open versus laparoscopic surgery in patients aged 80 years or older with colorectal cancer between 2007 and 2014. Results Of 150 elderly colorectal patients, 62 patients received laparoscopic surgery, and 88 patients, open surgery. In the laparoscopic surgery group, two patients were converted to open surgery due to extensive adhesion. The amount of blood loss was smaller in patients treated with laparoscopic surgery than those with open surgery (44.0 ± 86.5 vs. 329.9 ± 482.1 ml, P < 0.01). In the laparoscopic surgery group, days until oral intake (5.3 ± 1.9 vs. 7.0 ± 3.0 days, P < 0.01) and hospital stay (17.2 ± 6.8 vs. 22.0 ± 14.0 days, P < 0.01) were shorter. Morbidity (30.6 vs. 42.0 %) and mortality (1.6 vs. 1.1 %) in laparoscopic and open surgery groups were similar. Conclusion Laparoscopic surgery in elderly patients with colorectal cancer was a safe and less invasive alternative to open surgery, with less blood loss and shorter hospital stay. | ||
| 650 | 4 | |a Laparoscopic surgery | |
| 650 | 4 | |a Open surgery | |
| 650 | 4 | |a Colorectal cancer | |
| 650 | 4 | |a Elderly patients | |
| 700 | 1 | |a Ishihara, Soichiro |4 aut | |
| 700 | 1 | |a Hata, Keisuke |4 aut | |
| 700 | 1 | |a Murono, Koji |4 aut | |
| 700 | 1 | |a Yasuda, Koji |4 aut | |
| 700 | 1 | |a Otani, Kensuke |4 aut | |
| 700 | 1 | |a Tanaka, Toshiaki |4 aut | |
| 700 | 1 | |a Kiyomatsu, Tomomichi |4 aut | |
| 700 | 1 | |a Kawai, Kazushige |4 aut | |
| 700 | 1 | |a Nozawa, Hiroaki |4 aut | |
| 700 | 1 | |a Yamaguchi, Hironori |4 aut | |
| 700 | 1 | |a Watanabe, Toshiaki |4 aut | |
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