Benefits of laparoscopic colorectal resection are more pronounced in elderly patients

Diseases of the Colon and Rectum
Matteo FrassonValerio Di Carlo

Abstract

The purpose of this study was to evaluate the impact of laparoscopic colorectal resection on short-term postoperative outcome in elderly patients. A series of 535 patients with colorectal disease who had been randomly assigned to laparoscopic (n=268) or open (n=267) resection was analyzed. A total of 201 patients (37.6 percent) were elderly (aged 70 years or older) and 334 patients (62.4 percent) were younger than aged 70 years. Follow-up for postoperative morbidity was performed for 30 days after hospital discharge. Elderly patients had a higher American Society of Anesthesiologists score compared with younger patients in both the laparoscopic and open groups (P=0.0001). In the open group, elderly patients had higher morbidity rate (37.5 vs. 23.9 percent; P=0.02) and longer length of hospital stay (13 vs. 10.6; P=0.007) compared with younger patients. In the laparoscopic group, morbidity rate (20.2 vs. 15.1 percent) and length of hospital stay (9.5 vs. 9.1) were similar in elderly and younger patients. In elderly patients, the laparoscopy-reduced morbidity rate (20.2 vs. 37.5 percent; P=0.01) and length of hospital stay (9.5 vs. 13; P=0.001) compared to the open approach. In younger patients, the advantages of the laparoscopic...Continue Reading

Associated Clinical Trials

Dec 5, 2018·Carly R Richards

References

Nov 1, 1992·Journal of Surgical Oncology·A A ViviL A Marques
Nov 11, 1991·Diseases of the Colon and Rectum·W E WiseW R Stewart
May 1, 1988·The British Journal of Surgery·T T Irvin
Oct 1, 1995·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·R D KingstonF Keeling
Feb 1, 1994·The Surgical Clinics of North America·B M EversJ C Thompson
Dec 1, 1996·The British Journal of Surgery·A BufalariL Moggi
Jul 27, 1999·The British Journal of Surgery·B T StewartJ W Lumley
Mar 25, 2000·Diseases of the Colon and Rectum·L StocchiD M Ilstrup
Apr 20, 2001·JAMA : the Journal of the American Medical Association·D MoherUNKNOWN CONSORT Group (Consolidated Standards of Reporting Trials)
Apr 19, 2002·Surgical Endoscopy·M BragaV Carlo
Aug 27, 2002·Diseases of the Colon and Rectum·Marco BragaValerio Di Carlo
Dec 24, 2002·Journal of the American College of Surgeons·Wai Lun LawPeter Hiu Ming Tung
Mar 4, 2003·Archives of Surgery·Anthony J SenagoreConor P Delaney
Apr 24, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Seiichiro YamamotoMasaki Kitajima
Sep 19, 2003·Journal de chirurgie·M Mathonnet, V Fermeaux
May 14, 2004·The New England Journal of Medicine·UNKNOWN Clinical Outcomes of Surgical Therapy Study GroupDavid Ota
Sep 28, 2004·The British Journal of Surgery·N S AbrahamM J Solomon
Nov 13, 2004·Diseases of the Colon and Rectum·Andrea VignaliValerio Di Carlo
Aug 9, 2005·Diseases of the Colon and Rectum·Andrea VignaliCarlo Staudacher
Jun 29, 2006·Aging Clinical and Experimental Research·Bo FengHong-Wei Li

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Citations

Jan 18, 2012·International Journal of Colorectal Disease·Tilman LaubertUwe J Roblick
Apr 14, 2011·Surgical Endoscopy·Rodrigo A PintoSteven D Wexner
Jul 4, 2012·Surgical Endoscopy·Katherine GraileyOmar Faiz
Jul 24, 2012·Surgical Endoscopy·Wong-Hoi SheWai-Lun Law
Jul 24, 2013·Surgical Endoscopy·Deborah S KellerConor P Delaney
Jun 12, 2008·Techniques in Coloproctology·G RomanoF Corcione
Jan 20, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ker-Kan TanRichard Sim
Feb 3, 2011·Clinics in Colon and Rectal Surgery·Thomas Shin, Janice F Rafferty
Apr 25, 2014·Gastroenterology Report·Vitaliy PoylinDeborah Nagle
Jan 1, 2009·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Jess L ThompsonHartzell V Schaff
Dec 31, 2009·Annals of Surgery·David W Rattner, Timothy D Jackson
Dec 23, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Mitsuyoshi TeiMasaki Mori
Jun 9, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·David LiskaGovind Nandakumar
Oct 28, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J F FioreL Denehy
May 14, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·B KaltoftJ Rosenberg
Aug 2, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·B N ChaudharyA R Dixon
Oct 18, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R MamidannaO Faiz
Feb 1, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S I WhiteC J Taylor
May 17, 2014·World Journal of Gastroenterology : WJG·Giampaolo UgoliniIsacco Montroni
Oct 15, 2013·Surgery Today·Yoshihiro MiyasakaAkira Miyoshi
Jun 14, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H PtokH Lippert
Jul 6, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J W T DekkerUNKNOWN Steering Committee of the ‘Quality Information System Colorectal Cancer’ Project
Jul 6, 2014·Surgical Endoscopy·Stavros Athanasios AntoniouFrank-Alexander Granderath
Mar 13, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H PtokUNKNOWN für die Studiengruppe „Kolon/Rektum-Karzinom“
Jul 15, 2015·Molecular and Clinical Oncology·Yasuhiro InoueMasato Kusunoki
Nov 26, 2013·Surgical Oncology Clinics of North America·Kellie L Mathis, Heidi Nelson
Feb 14, 2012·Clinics in Geriatric Medicine·Andrew P ZbarRiccardo A Audisio
Aug 6, 2015·International Journal of Colorectal Disease·Mitsuyoshi TeiHiroki Akamatsu
Sep 12, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Antonino Spinelli, Isacco Montroni
Jul 16, 2010·Journal of Surgical Education·Ashwin A KurianSteven A Fassler
May 18, 2012·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·S R MarkarD E Low

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