Laparoscopic colectomy in octogenarians and nonagenarians: a preferable option to open surgery?

Journal of Surgical Education
Ashwin A KurianSteven A Fassler

Abstract

To determine if laparoscopic colectomy is safer and more effective than open colectomy in patients older than 80 years of age. An operating room database of all colectomies performed on patients >or=80 years, from January 2002 to September 2007, was analyzed retrospectively. Data reviewed included type of operation, type of resection, length of procedure, length of stay (LOS), estimated blood loss, American Society of Anesthesiologists (ASA) grade, diagnosis, complications, mortality rates, and discharge destination, with p-values <0.05 considered significant. One hundred thirty-nine patients underwent open procedures (Open group) during the study period versus 150 patients who underwent laparoscopic procedures (Lap group). Of the Lap group, 15 patients were converted to open cases. Forty-four patients from the Open group were excluded from the analysis as they were treated emergently, leaving 95 patients in the Open group. The mortality for open procedures was significantly higher at 9/95 (9.4%), compared with 3/150 (2%) following laparoscopic procedures (p = 0.0132). LOS was significantly longer for open procedures (11.16 days) versus laparoscopic procedures (7.11 days), p = 0.0001. Open procedures were associated with an inc...Continue Reading

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Citations

May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Ryan ShadisSteven A Fassler
Jul 6, 2014·Surgical Endoscopy·Stavros Athanasios AntoniouFrank-Alexander Granderath
Aug 31, 2013·Asian Journal of Surgery·Rudra Krishna MaitraCharles A Maxwell-Armstrong
Nov 22, 2011·The Journal of Surgical Research·David A KlimaGamal Mostafa
Jul 14, 2017·Asian Journal of Endoscopic Surgery·Yugo NagaiTakahiko Tatsumi
Feb 13, 2014·World Journal of Gastrointestinal Surgery·Pierre-Anthony LeakeJoseph M Plummer
Feb 16, 2016·British Journal of Hospital Medicine·Valentine C Ngwa, Soma Kar
Aug 19, 2016·Annals of Surgery·Helen O' BrienRose Anne Kenny
Jan 8, 2016·Annals of the Royal College of Surgeons of England·K OaklandP A Coughlin
Jul 17, 2018·International Journal of Colorectal Disease·Yih-Jong ChernJeng-Fu You

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