Document Detail


Short-term outcomes of laparoscopic rectal surgery for primary rectal cancer in elderly patients: is it safe and beneficial?
MedLine Citation:
PMID:  19582517     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The role of laparoscopic resection in management of rectal cancer is still controversial. The purpose of this study was to evaluate whether laparoscopic rectal resection for rectal cancer could be safely performed in elderly patients. METHODS: Forty-four elderly patients (> or =75 years) undergoing laparoscopic rectal resection (group A) were compared with 228 younger patients (<75 years) undergoing laparoscopic rectal resection (group B) and 43 elderly patients (> or =75 years) undergoing open rectal resection (group C). RESULTS: The American Society of Anesthesiologists' status was significantly higher in group A than in group B. Operative procedure, operating time, and estimated blood loss were comparable, and overall postoperative complications did not differ significantly between groups A and B (13.6% vs. 11.8%). Operating time was longer (256 vs. 196 min), but estimated blood loss was significantly less (25 vs. 241 ml) in group A than in group C. The rate of postoperative complications was lower (13.6% vs. 25.6%) in group A than in group C, but the difference was not statistically significant. Time to flatus (1.3 vs. 3.7 days), time to liquid diet (2.2 vs. 7.0 days), and hospital stay (19 vs. 22 days) were significantly shorter in group A than in group C. CONCLUSIONS: Laparoscopic rectal resection for elderly patients can be safely performed with similar postoperative outcomes as in younger patients and may have advantages in terms of faster gastrointestinal recovery and shorter length of hospital stay compared with open surgery.
Authors:
Takashi Akiyoshi; Hiroya Kuroyanagi; Masatoshi Oya; Tsuyoshi Konishi; Meiki Fukuda; Yoshiya Fujimoto; Masashi Ueno; Toshiharu Yamaguchi
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2009-07-07
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  13     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-03     Completed Date:  2009-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1614-8     Citation Subset:  IM    
Affiliation:
Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Ariake Hospital, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / mortality*,  pathology,  surgery*
Age Factors
Aged
Aged, 80 and over
Anastomosis, Surgical / adverse effects,  methods
Cohort Studies
Colectomy / methods*,  mortality
Female
Follow-Up Studies
Humans
Laparoscopy / methods*,  mortality
Male
Middle Aged
Postoperative Complications / mortality,  physiopathology
Probability
Rectal Neoplasms / mortality*,  pathology,  surgery*
Risk Assessment
Statistics, Nonparametric
Survival Analysis
Time Factors
Treatment Outcome

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


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