Elderly patients have more infectious complications following laparoscopic colorectal cancer surgery

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
C L KvasnovskyS Papagrigoriadis

Abstract

Elderly patients may be at higher risk of postoperative complications, particularly infective, than younger patients. We prospectively followed 163 consecutive patients undergoing elective laparoscopic resection for cancer. We compared patients < 65, 65-80 and > 80 years of age at the time of surgery. Seventy (42.9%) patients had no complication; 93 (57.1%) had at least one complication following surgery and in 20 (12.3%) this was major. There was no difference in major complications between the groups (P = 0.47). Patients over 65 years of age were more likely to have a complication of any severity [< 65 years, 39.3%; 65-80 years, 69.3%; and > 80 years, 63.0% (P = 0.002)]. The frequency of gastrointestinal complications (30.1%) was similar in the groups (P = 0.29), as was wound infection (25.2%) (P = 0.65). There was an increase in the frequency of infectious complications, especially chest infection, with age, from 14.8% in patients < 65 years, to 22.7% in patients 65-80 years, to 44.4% in patients > 80 years (P = 0.01). Multivariate analysis showed no increase in overall complications in elderly patients, but Stage II or Stage III cancer (OR = 2.59, P = 0.04) and increasing body mass index (BMI) (OR = 1.07 for each unit incre...Continue Reading

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Citations

Jun 5, 2016·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Thomas AparicioElena Paillaud
Oct 26, 2016·Journal of Surgical Oncology·Johannes A GovaertUNKNOWN Dutch Value Based Healthcare Study Group
Mar 22, 2018·Khirurgiia·Z B KhalilovF S Kurbanov
Apr 5, 2017·Khirurgiia·Z B Khalilov, A Yu Kalinichenko
Jan 20, 2019·International Journal of Colorectal Disease·Masakatsu NumataMunetaka Masuda
Aug 17, 2019·Journal of Physical Therapy Science·Tsuyoshi HaraAkira Kubo
Jun 3, 2019·European Journal of Gastroenterology & Hepatology·Xing-Zhao YeXiao-Lie Chen
Oct 23, 2020·ANZ Journal of Surgery·Hyerin ParkRupert Hodder
Jul 28, 2021·Langenbeck's Archives of Surgery·Dedrick Kok Hong ChanChristopher Hang Liang Keh
Jun 4, 2020·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·David MartinMartin Hübner

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