Abstract
There is an increasing population of elderly people in Western as well as in Asian countries. Among the malignant tumors colorectal cancer is one of the most frequently seen tumors in the elderly. Since the first report by Jacobs in 1991 (Jacobs et al., Surg Laparosc Endosc 1: 144–50, 1991), laparoscopic colorectal surgery has been practiced with an increasing number of cases each year. As laparoscopic colorectal surgery is less invasive than open surgery, it will be a good indication for elderly patients who tend to have comorbidity and/or frailty. Most of the short-term postoperative studies comparing laparoscopic vs open in elderly patients demonstrated the advantages of laparoscopic colectomy over open colectomy. The results of these reports demonstrated that although the length of operation was longer in laparoscopic colectomy, the postoperative hospital stay was shorter and the return of bowel function was earlier. Most of the retrospective studies showed that laparoscopic colorectal surgery in the elderly patients can safely be performed as in the younger patients. However, due to the retrospective nature of the studies, still it is not yet clearly determined whether elderly patients with comorbidities can safely be operated on as in younger patients with similar comorbidities. As the indication for laparoscopic colectomy in the elderly patients expands including those with high-grade cardiopulmonary comorbidities, it should be further investigated whether the indication for laparoscopic colectomy can similarly be indicated in the elderly as in the younger patients.
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References
Bowles TA, Sanders KM et al (2008) Simplified risk stratification in elective colorectal surgery. ANZ J Surg 78(1–2):24–27
Charlson ME, Pompei P et al (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373–383
Cheung HY, Chung CC et al (2007) Laparoscopic resection for colorectal cancer in octogenarians: results in a decade. Dis Colon Rectum 50(11):1905–1910
Delgado S, Lacy AM et al (2000) Could age be an indication for laparoscopic colectomy in colorectal cancer? Surg Endosc 14(1):22–26
Fiscon V, Portale G et al (2010) Laparoscopic resection of colorectal cancer in elderly patients. Tumori 96(5):704–708
Fleshman J, Sargent DJ et al (2007) Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg 246(4):655–662; discussion 662–4
Fried LP, Tangen CM et al (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56(3):M146–M156
Horzic M, Kopljar M et al (2007) Comparison of P-POSSUM and Cr-POSSUM scores in patients undergoing colorectal cancer resection. Arch Surg 142(11):1043–1048
Issa N, Grassi C et al (2011) Laparoscopic colectomy for carcinoma of the colon in octogenarians. J Gastrointest Surg 15:2011–2015
Jacobs M, Verdeja JC et al (1991) Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1(3):144–150
JSES (2010) Nationwide statistics of laparoscopic surgery in Japan. J Jpn Soc Endosc Surg 15(5):565–671
Kitano S, Inomata M et al (2005) Randomized controlled trial to evaluate laparoscopic surgery for colorectal cancer: Japan Clinical Oncology Group Study JCOG 0404. Jpn J Clin Oncol 35(8):475–477
Lacy AM, Delgado S et al (2008) The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. Ann Surg 248(1):1–7
Law WL, Chu KW et al (2002) Laparoscopic colorectal resection: a safe option for elderly patients. J Am Coll Surg 195(6):768–773
Nakamura T, Mitomi H et al (2011) Oncological outcomes of laparoscopic surgery in elderly patients with colon cancer: a comparison of patients 64 years or younger with those 75 years or older. Hepatogastroenterology 58(109):1200–1204
Person B, Cera SM et al (2008) Do elderly patients benefit from laparoscopic colorectal surgery? Surg Endosc 22(2):401–405
Senagore AJ, Madbouly KM et al (2003) Advantages of laparoscopic colectomy in older patients. Arch Surg 138(3):252–256
Sklow B, Read T et al (2003) Age and type of procedure influence the choice of patients for laparoscopic colectomy. Surg Endosc 17(6):923–929
Stewart BT, Stitz RW et al (1999) Laparoscopically assisted colorectal surgery in the elderly. Br J Surg 86(7):938–941
Tan KY, Kawamura Y et al (2009) Colorectal surgery in octogenarian patients – outcomes and predictors of morbidity. Int J Colorectal Dis 24(2):185–189
Tan KY, Konishi F (2010) Long-term results of laparoscopic colorectal cancer resection: current knowledge and what remains unclear. Surg Today 40(2):97–101
Tan KY, Konishi F et al (2010) Laparoscopic colorectal surgery in elderly patients: a case-control study of 15 years of experience. Am J Surg 201(4):531–536
Tei M, Ikeda M et al (2009) Postoperative complications in elderly patients with colorectal cancer: comparison of open and laparoscopic surgical procedures. Surg Laparosc Endosc Percutan Tech 19(6):488–492
Vignali A, Di Palo S et al (2005) Laparoscopic vs. open colectomies in octogenarians: a case-matched control study. Dis Colon Rectum 48(11):2070–2075
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© 2013 Springer-Verlag Berlin Heidelberg
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Konishi, F. (2013). Minimally Invasive Surgery for Colorectal Cancer in the Elderly Patients. In: Tan, KY. (eds) Colorectal Cancer in the Elderly. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29883-7_10
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DOI: https://doi.org/10.1007/978-3-642-29883-7_10
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