Abstract
PURPOSE: The aim of this study was to define any benefits in terms of early outcome for laparoscopic colectomy in patients over 80 years old compared with open colectomy. METHODS: Sixty-one patients undergoing laparoscopic colectomy for colorectal cancer were matched to 61 open colectomy patients for gender, age, year of surgery, site of cancer, and comorbidity on admission. Independence status on admission and at discharge from the hospital was also evaluated. RESULTS: Mean (standard deviation) age was 82.3 (3.5) years in the laparoscopy group and 83.1 (3.3) years in the open group. Conversion rate was 6.1 percent. Operative time was 49 minutes longer in the laparoscopy group (P = 0.001 ). The overall mortality rate was 2.4 percent. The morbidity rate was 21.5 percent in the laparoscopy group and 31.1 percent in the open group (P = 0.30). Patients in the laparoscopy group had a faster recovery of bowel function (P = 0.01) and a significant reduction of the mean length of hospital stay (9.8 vs. 12.9 days for the open group, P = 0.001). Laparoscopy allowed a better preservation of postoperative independence status compared with the that of the open group (P = 0.02). CONCLUSION: Laparoscopic colectomy for cancer in octogenarians is safe and beneficial including preservation of postoperative independence and a reduction of length of hospital stay.
| Original language | English |
|---|---|
| Pages (from-to) | 2070-2075 |
| Number of pages | 6 |
| Journal | Diseases of the Colon and Rectum |
| Volume | 48 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - Nov 2005 |
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Keywords
- Colorectal cancer
- Colorectal surgery
- Elderly
- Laparoscopy
- Postoperative morbidity
ASJC Scopus subject areas
- Gastroenterology
Cite this
Laparoscopic vs. open colectomies in octogenarians : A case-matched control study. / Vignali, Andrea; Di Palo, Saverio; Tamburini, Andrea; Radaelli, Giovanni; Orsenigo, Elena; Staudacher, Carlo.
In: Diseases of the Colon and Rectum, Vol. 48, No. 11, 11.2005, p. 2070-2075.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic vs. open colectomies in octogenarians
T2 - A case-matched control study
AU - Vignali, Andrea
AU - Di Palo, Saverio
AU - Tamburini, Andrea
AU - Radaelli, Giovanni
AU - Orsenigo, Elena
AU - Staudacher, Carlo
PY - 2005/11
Y1 - 2005/11
N2 - PURPOSE: The aim of this study was to define any benefits in terms of early outcome for laparoscopic colectomy in patients over 80 years old compared with open colectomy. METHODS: Sixty-one patients undergoing laparoscopic colectomy for colorectal cancer were matched to 61 open colectomy patients for gender, age, year of surgery, site of cancer, and comorbidity on admission. Independence status on admission and at discharge from the hospital was also evaluated. RESULTS: Mean (standard deviation) age was 82.3 (3.5) years in the laparoscopy group and 83.1 (3.3) years in the open group. Conversion rate was 6.1 percent. Operative time was 49 minutes longer in the laparoscopy group (P = 0.001 ). The overall mortality rate was 2.4 percent. The morbidity rate was 21.5 percent in the laparoscopy group and 31.1 percent in the open group (P = 0.30). Patients in the laparoscopy group had a faster recovery of bowel function (P = 0.01) and a significant reduction of the mean length of hospital stay (9.8 vs. 12.9 days for the open group, P = 0.001). Laparoscopy allowed a better preservation of postoperative independence status compared with the that of the open group (P = 0.02). CONCLUSION: Laparoscopic colectomy for cancer in octogenarians is safe and beneficial including preservation of postoperative independence and a reduction of length of hospital stay.
AB - PURPOSE: The aim of this study was to define any benefits in terms of early outcome for laparoscopic colectomy in patients over 80 years old compared with open colectomy. METHODS: Sixty-one patients undergoing laparoscopic colectomy for colorectal cancer were matched to 61 open colectomy patients for gender, age, year of surgery, site of cancer, and comorbidity on admission. Independence status on admission and at discharge from the hospital was also evaluated. RESULTS: Mean (standard deviation) age was 82.3 (3.5) years in the laparoscopy group and 83.1 (3.3) years in the open group. Conversion rate was 6.1 percent. Operative time was 49 minutes longer in the laparoscopy group (P = 0.001 ). The overall mortality rate was 2.4 percent. The morbidity rate was 21.5 percent in the laparoscopy group and 31.1 percent in the open group (P = 0.30). Patients in the laparoscopy group had a faster recovery of bowel function (P = 0.01) and a significant reduction of the mean length of hospital stay (9.8 vs. 12.9 days for the open group, P = 0.001). Laparoscopy allowed a better preservation of postoperative independence status compared with the that of the open group (P = 0.02). CONCLUSION: Laparoscopic colectomy for cancer in octogenarians is safe and beneficial including preservation of postoperative independence and a reduction of length of hospital stay.
KW - Colorectal cancer
KW - Colorectal surgery
KW - Elderly
KW - Laparoscopy
KW - Postoperative morbidity
UR - http://www.scopus.com/inward/record.url?scp=27644484855&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=27644484855&partnerID=8YFLogxK
U2 - 10.1007/s10350-005-0147-0
DO - 10.1007/s10350-005-0147-0
M3 - Article
C2 - 16086219
AN - SCOPUS:27644484855
VL - 48
SP - 2070
EP - 2075
JO - Diseases of the Colon and Rectum
JF - Diseases of the Colon and Rectum
SN - 0012-3706
IS - 11
ER -