Outcomes of open, laparoscopic, and hand-assisted laparoscopic surgeries in elderly patients with right colon cancers: A case-control study

Medicine
Mingtian WeiZiqiang Wang

Abstract

An increasing proportion of patients aged more than 70 years old are suffering from colorectal cancers. This study aimed to compare the short- and long-terms outcomes between open surgery (OS) or conventional laparoscopic surgery (LS) and hand-assisted laparoscopic surgery (HALS) in treatment of these elderly patients with right colon cancers.We retrospectively reviewed patients who underwent right colon resections for cancers in our institution between June, 2009 and December, 2014. Short- and long-terms outcomes including surgical endpoints, postsurgical recovery data, postoperative morbidity and mortality, overall survival and disease-free survival were compared among OS, LS, and HALS groups. All data were analyzed by SPSS 22.0.Finally, 69 consecutive patients (OS = 26, LS = 24, HALS = 19) with right colon cancers were included in the analysis. Compared with OS, HALS was associated with less time to first anus exhaust (P = .013), first liquid diet (P = .045), and first soft diet (P = .036). Meanwhile, there were significant less operative time (P = .0027), blood loss (P < .001), and less time to first liquid diet (P = .009) in HALS, compared with LS. In regards to long-term outcomes, there were no significant differences in ...Continue Reading

References

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
Dec 24, 2002·Journal of the American College of Surgeons·Wai Lun LawPeter Hiu Ming Tung
Mar 23, 2005·Archives of Surgery·Arnaud AlvesUNKNOWN Association Française de Chirurgie
Jan 17, 2008·Diseases of the Colon and Rectum·Matteo FrassonValerio Di Carlo
Apr 18, 2008·Diseases of the Colon and Rectum·Peter W MarcelloRichard L Whelan
Feb 21, 2009·Journal of the American College of Surgeons·Toyooki SonodaJeffrey Milsom
Nov 26, 2009·The British Journal of Surgery·R A AllardyceUNKNOWN Australasian Laparoscopic Colon Cancer Study Group
Feb 8, 2011·Journal of the American College of Surgeons·Jon D VogelFeza H Remzi
Mar 15, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·L W C NgM K W Li
May 9, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J Gu, N Chen
Sep 13, 2014·The Journal of Surgical Research·Wei-Gen ZengJun-Jie Hu
Oct 22, 2014·Annals of Surgical Oncology·Takao HinoiUNKNOWN Japan Society of Laparoscopic Colorectal Surgery
Mar 2, 2016·World Journal of Surgical Oncology·Yanlai SunZhongfa Xu

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Citations

Jul 30, 2021·International Journal of Clinical Practice·Sevda Canbay DurmazAbuzer Dirican

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Methods Mentioned

BETA
surgical resection
dissection

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