Colorectal cancer surgery in the very elderly patient: a systematic review of laparoscopic versus open colorectal resection

Colorectal cancer surgery in the very elderly patient: a systematic review of laparoscopic versus... Introduction Colorectal cancer is the second most common cles were retrieved for full text analysis, and only six retro- cause of death from neoplastic disease in men and third in spective studies met the inclusion criteria. Overall mortality women of all ages. Globally, life expectancy is increasing, for elective laparoscopic resection was 2.92% and morbidity and consequently, an increasing number of operations are be- 23%. No single study showed a significant difference between ing performed on more elderly patients with the trend set to laparoscopic and open surgery for morbidity or mortality, but continue. pooled data analysis demonstrated reduced morbidity in the Elderly patients are more likely to have cardiovascular and laparoscopic group (p = 0.032). Patients undergoing laparo- pulmonary comorbidities that are associated with increased scopic surgery are more likely to have a shorter hospital stay peri-operative risk. They further tend to present with more and a shorter time to oral diet. Conclusion Elective laparoscopic resection for colorectal can- locally advanced disease, more likely to obstruct or have dis- seminated disease. cer in the over 85 age group is feasible and safe and offers similar advantages over open surgery to those demonstrated in The aim of this review http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Colorectal Disease Springer Journals

Colorectal cancer surgery in the very elderly patient: a systematic review of laparoscopic versus open colorectal resection

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany
Subject
Medicine & Public Health; Surgery; Internal Medicine; Gastroenterology; Hepatology; Proctology
ISSN
0179-1958
eISSN
1432-1262
D.O.I.
10.1007/s00384-017-2848-y
Publisher site
See Article on Publisher Site

Abstract

Introduction Colorectal cancer is the second most common cles were retrieved for full text analysis, and only six retro- cause of death from neoplastic disease in men and third in spective studies met the inclusion criteria. Overall mortality women of all ages. Globally, life expectancy is increasing, for elective laparoscopic resection was 2.92% and morbidity and consequently, an increasing number of operations are be- 23%. No single study showed a significant difference between ing performed on more elderly patients with the trend set to laparoscopic and open surgery for morbidity or mortality, but continue. pooled data analysis demonstrated reduced morbidity in the Elderly patients are more likely to have cardiovascular and laparoscopic group (p = 0.032). Patients undergoing laparo- pulmonary comorbidities that are associated with increased scopic surgery are more likely to have a shorter hospital stay peri-operative risk. They further tend to present with more and a shorter time to oral diet. Conclusion Elective laparoscopic resection for colorectal can- locally advanced disease, more likely to obstruct or have dis- seminated disease. cer in the over 85 age group is feasible and safe and offers similar advantages over open surgery to those demonstrated in The aim of this review

Journal

International Journal of Colorectal DiseaseSpringer Journals

Published: Jun 30, 2017

References

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