Early outcomes of colon laparoscopic resection in the elderly patients compared with the younger

BMC Surgery

Research Article

Federica Andreoli¹  Arianna Mottola¹  Giovanni Fregola¹  Domenico Papaleo¹  Paola Della Rocca¹  Francesco Galante¹  Valerio Sciascia¹  Salvatore Cuzzovaglia¹  Vincenzo Bottino¹  Maria Grazia Esposito¹  Maria Elena Giuliano¹  Alfredo Breglia¹  Vittorio Di Maio¹  Pietro Maida¹  Giampaolo Marte¹  Marco Nunziante¹ 

[1] Evangelic Hospital Villa Betania, Via Argine 604, Naples, Italy;

关键词: Incisional Hernia;    Bowel Function;    Laparoscopic Colectomy;    Operative Blood Loss;    Laparoscopic Colorectal Resection;   

DOI  :  10.1186/1471-2482-12-S1-S8

来源: Springer

【 摘 要 】

BackgroundThe aim of this study was to define any benefits in terms of early outcome for laparoscopic colectomy in patients over 75 years old (OP) compared with the outcomes of a younger populations (YP).MethodsForty elderly patients undergoing laparoscopic colectomy for colorectal cancer between 2007-2011 were studied, the patients are divided for gender, age, year of surgery, site of cancer, and comorbidity on admission and compared with 40 younger patients.Results and discussionMean (standard deviation) age was 81.3 in OP and 68.3 YP Conversion rate was the same between the two groups. There was no difference in operative mean time . The overall mortality rate was 0% percent. The surgical morbidity rate was the same but there was an increased in cardiologic e bronchopneumonia complications in older population. Patients treated with laparoscopic approach had a faster recovery of bowel function and a significant reduction of the mean length of hospital stay not age related. Laparoscopy allowed a better preservation of postoperative independence status.ConclusionsLaparoscopic colectomy for cancer in elderly patients is safe and beneficial including preservation of postoperative independence and a reduction of length of hospital stay.

【 授权许可】

Unknown   
© Bottino et al; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.