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Surgery for colorectal cancer in elderly: a comparative analysis of risk factor in elective and urgency surgery

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Abstract

Introduction

Colon cancer therapy is primarily surgical. Advanced age does not represent a contraindication to surgery. We analyse the results of surgery in ultra 75 patients undergoing surgery for colorectal cancer by examining the correlation between the comorbidity and any post-operative complications.

Materials and methods

We surgically treated 66 patients for colorectal cancer, aged over 75. The examined subjects were compromised for various reasons. We have evaluated the different influences of risk factors in elective and urgency operation.

Discussion

Several studies have shown that age alone is not a significant prognostic factor in survival after colonic surgery. The assessment of general conditions in elderly patients, as demonstrated by the literature, is a fundamental moment in the management of colorectal cancer.

Conclusions

The surgical choice should be made case by case (custom-made), not based on age only.

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Abbreviations

CRC:

Colorectal cancer

COPD:

Chronic obstructive pulmonary disease

SIOG:

International Society of Geriatric Oncology

PN:

Parenteral nutrition

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Acknowledgements

The authors declare that they have received no funding for the study.

Author information

Authors and Affiliations

  1. Department of General and Oncological Surgery, University of Perugia, Località Sant’Andrea delle Fratte, 06134, Perugia, Italy

    Carlo Boselli, Roberto Cirocchi, Alessandro Gemini, Veronica Grassi & Maria Federica Burattini

  2. Department of General Surgery, Terni Saint Mary Hospital, University of Perugia, Via Tristano di Joannuccio, 05100, Terni, Italy

    Stefano Avenia, Andrea Polistena, Alessandro Sanguinetti & Nicola Avenia

  3. Department of Surgical Sciences, Sapienza University of Rome, Viale Regina Elena, 32400161, Rome, Italy

    Daniele Pironi & Alberto Santoro

  4. Department of Gastrointestinal and General Surgery, Medical University of Wrocław, Wrocław, Poland

    Renata Tabola

Authors
  1. Carlo Boselli
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  2. Roberto Cirocchi
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  3. Alessandro Gemini
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  4. Veronica Grassi
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  8. Maria Federica Burattini
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  10. Alberto Santoro
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  11. Renata Tabola
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  12. Nicola Avenia
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Corresponding author

Correspondence to Roberto Cirocchi.

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Conflict of interest

All authors listed have contributed sufficiently to the project to be included as authors, and to the best of our knowledge, no conflict of interest, financial or other exists.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent to the radiological procedure and to the processing of own personal data was obtained from each individual study participant. In accordance with Italian Drug Agency (AIFA) guidelines, observational studies using retrospective data or materials do not require formal approval by the local ethics committee.

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Boselli, C., Cirocchi, R., Gemini, A. et al. Surgery for colorectal cancer in elderly: a comparative analysis of risk factor in elective and urgency surgery. Aging Clin Exp Res 29 (Suppl 1), 65–71 (2017). https://doi.org/10.1007/s40520-016-0642-2

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  • DOI: https://doi.org/10.1007/s40520-016-0642-2

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