File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Outcome of laparoscopic colectomy for cancer in elderly patients

TitleOutcome of laparoscopic colectomy for cancer in elderly patients
Authors
KeywordsColorectal Cancer
Elderly
Laparoscopic Colectomy
Issue Date2013
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
Surgical Endoscopy, 2013, v. 27 n. 1, p. 308-312 How to Cite?
AbstractBackground: Resection for colon cancer in the elderly is a major undertaking. However, data on the outcome and survival of elderly patients who underwent laparoscopic resection for colon cancer are limited. This study of patients older than 75 years compared outcome and survival between those who underwent laparoscopic resection and those who had open resection for colorectal cancer. Methods: From 2000 to 2009, 434 patients ages 75 years and older who underwent elective resection for colon cancer were included in the study. Patients who had rectal cancer or had undergone emergency operations were excluded. Preoperative diagnosis was determined by colonoscopy, and computed tomography scan was performed for preoperative staging. Data on the patients' demographics, operative details, pathology results, postoperative results, and survival were collected prospectively. The patients who underwent laparoscopic surgery were compared with those who had open surgery. Results: The study included 434 patients (210 men) with a median age of 80 years (range 75-95 years). Of these 434 patients, 189 underwent laparoscopic resection. Nine patients (4.8 %) required conversion to open operation. The patients did not differ in terms of age, gender, incidence of medical comorbidities, or stage of disease. The median operating time was longer in the laparoscopic group, but the blood loss was significantly less. Laparoscopic resection was associated with a lower mortality rate and a shorter hospital stay (p < 0.05). The open resection group had significantly more cardiac complications (p < 0.05). The overall 5-year survival rates were similar between the patients who had laparoscopic resections and those who had open surgery. Conclusions: For patients older than 75 years, laparoscopic resection of colon is associated with less intraoperative blood loss, a shorter hospital stay, fewer cardiac complication, and a lower mortality rate than open resection. Therefore, the authors recommend laparoscopic resection of colon cancer as the treatment of choice for elderly patients. © 2012 Springer Science+Business Media, LLC.
Persistent Identifierhttp://hdl.handle.net/10722/173034
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorShe, WHen_US
dc.contributor.authorPoon, JTCen_US
dc.contributor.authorFan, JKMen_US
dc.contributor.authorLo, OSHen_US
dc.contributor.authorLaw, WLen_US
dc.date.accessioned2012-10-30T06:26:44Z-
dc.date.available2012-10-30T06:26:44Z-
dc.date.issued2013en_US
dc.identifier.citationSurgical Endoscopy, 2013, v. 27 n. 1, p. 308-312en_US
dc.identifier.issn0930-2794en_US
dc.identifier.urihttp://hdl.handle.net/10722/173034-
dc.description.abstractBackground: Resection for colon cancer in the elderly is a major undertaking. However, data on the outcome and survival of elderly patients who underwent laparoscopic resection for colon cancer are limited. This study of patients older than 75 years compared outcome and survival between those who underwent laparoscopic resection and those who had open resection for colorectal cancer. Methods: From 2000 to 2009, 434 patients ages 75 years and older who underwent elective resection for colon cancer were included in the study. Patients who had rectal cancer or had undergone emergency operations were excluded. Preoperative diagnosis was determined by colonoscopy, and computed tomography scan was performed for preoperative staging. Data on the patients' demographics, operative details, pathology results, postoperative results, and survival were collected prospectively. The patients who underwent laparoscopic surgery were compared with those who had open surgery. Results: The study included 434 patients (210 men) with a median age of 80 years (range 75-95 years). Of these 434 patients, 189 underwent laparoscopic resection. Nine patients (4.8 %) required conversion to open operation. The patients did not differ in terms of age, gender, incidence of medical comorbidities, or stage of disease. The median operating time was longer in the laparoscopic group, but the blood loss was significantly less. Laparoscopic resection was associated with a lower mortality rate and a shorter hospital stay (p < 0.05). The open resection group had significantly more cardiac complications (p < 0.05). The overall 5-year survival rates were similar between the patients who had laparoscopic resections and those who had open surgery. Conclusions: For patients older than 75 years, laparoscopic resection of colon is associated with less intraoperative blood loss, a shorter hospital stay, fewer cardiac complication, and a lower mortality rate than open resection. Therefore, the authors recommend laparoscopic resection of colon cancer as the treatment of choice for elderly patients. © 2012 Springer Science+Business Media, LLC.en_US
dc.languageengen_US
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/en_US
dc.relation.ispartofSurgical Endoscopyen_US
dc.subjectColorectal Canceren_US
dc.subjectElderlyen_US
dc.subjectLaparoscopic Colectomyen_US
dc.titleOutcome of laparoscopic colectomy for cancer in elderly patientsen_US
dc.typeArticleen_US
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_US
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_US
dc.identifier.authorityPoon, JTC=rp01603en_US
dc.identifier.authorityLaw, WL=rp00436en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s00464-012-2466-2en_US
dc.identifier.pmid22820704-
dc.identifier.scopuseid_2-s2.0-84871971858en_US
dc.identifier.hkuros216766-
dc.identifier.spage308en_US
dc.identifier.epage312en_US
dc.identifier.isiWOS:000312884500042-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridShe, WH=35574579400en_US
dc.identifier.scopusauthoridPoon, JTC=7005903722en_US
dc.identifier.scopusauthoridFan, JKM=55194553300en_US
dc.identifier.scopusauthoridLo, OSH=6508168045en_US
dc.identifier.scopusauthoridLaw, WL=7103147867en_US
dc.identifier.citeulike10988572-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats