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Conference Paper: Outcomes of laparoscopic colectomy for cancer in elderly patients

TitleOutcomes of laparoscopic colectomy for cancer in elderly patients
Authors
Issue Date2011
PublisherSociety of American Gastrointestinal and Endoscopic Surgeons (SAGES). The conference's web site is located at http://www.sages.org/
Citation
SAGES 2011 - Surgical Spring Week, San Antonio, TX., 30 March-2 April 2011 How to Cite?
AbstractBackground: Resection for colon cancer in the elderly is considered as a major undertaking, which is associated with a high operative morbidity. There have been studies on the safety of laparoscopic colectomy in the elderly. However, there are few data on the survival of elderly patients who underwent laparoscopic resection for colon cancer. This study compared the outcomes and survival of patients who underwent laparoscopic and open resection for colon cancer. Patients and methods: From 2000 to 2009, 439 patients aged 75 years and above who underwent elective resection for colon cancer were included in the study. The operations were performed by specialists in colorectal surgery. Data on the patients’ demographics, operating details, pathology results, postoperative results and survival were collected prospectively. Comparison was made between patients who underwent laparoscopic and open surgery. Results: Four hundred and thirty-nine patients (213 men) were included and the median age was 80 years (range: 75-95 years). One hundred and ninety underwent laparoscopic resection while 249 patients had open resection. In those patients with laparoscopic resection, 9 (4.7%)required conversion. There were no differences in the age, gender, presence of medical comorbidities and the stage of the diseases between the two groups. The mean operating time was long in the laparoscopic group (163 min vs. 122 min, p<0.001) and the blood loss was significantly less (125 ml vs. 244 ml, p=0.021). The 30-day mortality rates in the laparoscopic and open groups were 0.5% and 4.0% (p=0.027) respectively. The postoperative complication rates of laparoscopic and open groups were 20.5% and 28.9%, respectively, (p=0.059). The median hospital stay in the laparoscopic group was 5 days (IQR: 4-8 days), which was significantly shorter than those with open resection (median: 7 days; IQR: 6-10 days) (p=0.001). The overall 5-year survivals of patients with laparoscopic and open resection were 52.8% and 48.2% (p=0.269) (Figure 1), respectively. Conclusions: Laparoscopic resection for colon cancer was associated with less blood loss, a lower mortality rate and a shorter hospital stay in elderly patients. The overall survival was similar to open resection.
DescriptionPostgraduate Courses & Scientific Session
Session: Posters of Distinction
Topic: Colorectal - program no. P015
Fulltext of the abstract and poster in: http://www.sages.org/meetings/annual-meeting/abstracts-archive/outcomes-of-laparoscopic-colectomy-for-cancer-in-elderly-patients/
Persistent Identifierhttp://hdl.handle.net/10722/140614

 

DC FieldValueLanguage
dc.contributor.authorLaw, WLen_US
dc.contributor.authorPoon, JTCen_US
dc.contributor.authorFan, JKMen_US
dc.contributor.authorLo, OSHen_US
dc.contributor.authorFoo, CCen_US
dc.date.accessioned2011-09-23T06:16:14Z-
dc.date.available2011-09-23T06:16:14Z-
dc.date.issued2011en_US
dc.identifier.citationSAGES 2011 - Surgical Spring Week, San Antonio, TX., 30 March-2 April 2011en_US
dc.identifier.urihttp://hdl.handle.net/10722/140614-
dc.descriptionPostgraduate Courses & Scientific Session-
dc.descriptionSession: Posters of Distinction-
dc.descriptionTopic: Colorectal - program no. P015-
dc.descriptionFulltext of the abstract and poster in: http://www.sages.org/meetings/annual-meeting/abstracts-archive/outcomes-of-laparoscopic-colectomy-for-cancer-in-elderly-patients/-
dc.description.abstractBackground: Resection for colon cancer in the elderly is considered as a major undertaking, which is associated with a high operative morbidity. There have been studies on the safety of laparoscopic colectomy in the elderly. However, there are few data on the survival of elderly patients who underwent laparoscopic resection for colon cancer. This study compared the outcomes and survival of patients who underwent laparoscopic and open resection for colon cancer. Patients and methods: From 2000 to 2009, 439 patients aged 75 years and above who underwent elective resection for colon cancer were included in the study. The operations were performed by specialists in colorectal surgery. Data on the patients’ demographics, operating details, pathology results, postoperative results and survival were collected prospectively. Comparison was made between patients who underwent laparoscopic and open surgery. Results: Four hundred and thirty-nine patients (213 men) were included and the median age was 80 years (range: 75-95 years). One hundred and ninety underwent laparoscopic resection while 249 patients had open resection. In those patients with laparoscopic resection, 9 (4.7%)required conversion. There were no differences in the age, gender, presence of medical comorbidities and the stage of the diseases between the two groups. The mean operating time was long in the laparoscopic group (163 min vs. 122 min, p<0.001) and the blood loss was significantly less (125 ml vs. 244 ml, p=0.021). The 30-day mortality rates in the laparoscopic and open groups were 0.5% and 4.0% (p=0.027) respectively. The postoperative complication rates of laparoscopic and open groups were 20.5% and 28.9%, respectively, (p=0.059). The median hospital stay in the laparoscopic group was 5 days (IQR: 4-8 days), which was significantly shorter than those with open resection (median: 7 days; IQR: 6-10 days) (p=0.001). The overall 5-year survivals of patients with laparoscopic and open resection were 52.8% and 48.2% (p=0.269) (Figure 1), respectively. Conclusions: Laparoscopic resection for colon cancer was associated with less blood loss, a lower mortality rate and a shorter hospital stay in elderly patients. The overall survival was similar to open resection.-
dc.languageengen_US
dc.publisherSociety of American Gastrointestinal and Endoscopic Surgeons (SAGES). The conference's web site is located at http://www.sages.org/-
dc.relation.ispartofSAGES 2011 - Surgical Spring Weeken_US
dc.titleOutcomes of laparoscopic colectomy for cancer in elderly patientsen_US
dc.typeConference_Paperen_US
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_US
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_US
dc.identifier.authorityLaw, WL=rp00436en_US
dc.identifier.hkuros192505en_US
dc.publisher.placeUnited States-

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