Document Detail


Comparison between surgical outcomes of colorectal cancer in younger and elderly patients.
MedLine Citation:
PMID:  21472132     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To compare the outcome of surgical treatment of colorectal adenocarcinoma in elderly and younger patients.
METHODS: The outcomes of 122 patients with colorectal adenocarcinoma who underwent surgical treatment between January 2004 and June 2009 were analyzed. The clinicopathological and blood biochemistry data of the younger group (< 75 years) and the elderly group (≥ 75 years) were compared.
RESULTS: There were no significant differences between the two groups in operation time, intraoperative blood loss, hospital stay, time to resumption of oral intake, or morbidity. The elderly group had a significantly higher rate of hypertension and cardiovascular disease. The perioperative serum total protein and albumin levels were significantly lower in the elderly than in the younger group. The serum carcinoembryonic antigen level was lower in the elderly than in the younger group, and there was a significant decreasing trend after the operation in the elderly group.
CONCLUSION: The short-term outcomes of surgical treatment in elderly patients with colorectal adenocarcinoma were acceptable. Surgical treatment in elderly patients was considered a selectively effective approach.
Authors:
Longxue Jin; Norio Inoue; Naoki Sato; Susumu Matsumoto; Hitoshi Kanno; Yuko Hashimoto; Kazuhiro Tasaki; Kinya Sato; Shun Sato; Katsutoshi Kaneko
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  17     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-04-07     Completed Date:  2011-07-25     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  1642-8     Citation Subset:  IM    
Affiliation:
Center for Digestive Diseases, Northern Fukushima Medical Center, Fukushima 960-0502, Japan. longxuejin@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / blood,  pathology,  surgery*
Age Factors
Aged
Aged, 80 and over
Blood Loss, Surgical
Carcinoembryonic Antigen / blood
Colectomy* / adverse effects
Colorectal Neoplasms / blood,  pathology,  surgery*
Eating
Female
Humans
Japan
Length of Stay
Male
Middle Aged
Neoplasm Staging
Nutritional Status
Patient Selection
Recovery of Function
Risk Assessment
Risk Factors
Serum Albumin / metabolism
Time Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Carcinoembryonic Antigen; 0/Serum Albumin
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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