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Short-term outcomes of open versus laparoscopic surgery in elderly patients with colorectal cancer

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Abstract

Background

Along with an aging society, the number of elderly patients with colorectal cancer treated with a surgical modality has gradually increased. Our purpose is to verify the safety and effectiveness of laparoscopic surgery for the treatment of colorectal cancer in elderly patients.

Methods

We compared the short-term outcomes of open versus laparoscopic surgery in patients aged 80 years or older with colorectal cancer between 2007 and 2014.

Results

Of 150 elderly colorectal patients, 62 patients received laparoscopic surgery, and 88 patients, open surgery. In the laparoscopic surgery group, two patients were converted to open surgery due to extensive adhesion. The amount of blood loss was smaller in patients treated with laparoscopic surgery than those with open surgery (44.0 ± 86.5 vs. 329.9 ± 482.1 ml, P < 0.01). In the laparoscopic surgery group, days until oral intake (5.3 ± 1.9 vs. 7.0 ± 3.0 days, P < 0.01) and hospital stay (17.2 ± 6.8 vs. 22.0 ± 14.0 days, P < 0.01) were shorter. Morbidity (30.6 vs. 42.0 %) and mortality (1.6 vs. 1.1 %) in laparoscopic and open surgery groups were similar.

Conclusion

Laparoscopic surgery in elderly patients with colorectal cancer was a safe and less invasive alternative to open surgery, with less blood loss and shorter hospital stay.

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Authors and Affiliations

  1. Department of Surgical Oncology, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Takeshi Nishikawa, Soichiro Ishihara, Keisuke Hata, Koji Murono, Koji Yasuda, Kensuke Otani, Toshiaki Tanaka, Tomomichi Kiyomatsu, Kazushige Kawai, Hiroaki Nozawa, Hironori Yamaguchi & Toshiaki Watanabe

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  1. Takeshi Nishikawa
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  2. Soichiro Ishihara
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  3. Keisuke Hata
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  4. Koji Murono
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Correspondence to Takeshi Nishikawa.

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Takeshi Nishikawa, Dr. Soichiro Ishihara, Dr. Keisuke Hata, Dr. Koji Murono, Dr. Koji Yasuda, Dr. Kensuke Otani, Dr. Toshiaki Tanaka, Dr Tomomichi Kiyomatsu, Dr. Kazushige Kawai, Dr. Hiroaki Nozawa, Dr. Hironori Yamaguchi and Prof. Toshiaki Watanabe declare no conflicts of interest or financial ties to disclose.

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Nishikawa, T., Ishihara, S., Hata, K. et al. Short-term outcomes of open versus laparoscopic surgery in elderly patients with colorectal cancer. Surg Endosc 30, 5550–5557 (2016). https://doi.org/10.1007/s00464-016-4921-y

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  • DOI: https://doi.org/10.1007/s00464-016-4921-y

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