Pulmonary complications after surgery for rectal cancer in elderly patients: Evaluation of laparoscopic versus open approach from a multicenter study on 477 consecutive cases

Marco Milone, Ugo Elmore, Andrea Vignali, Alfredo Mellano, Nicola Gennarelli, Michele Manigrasso, Francesco Milone, Giovanni Domenico De Palma, Andrea Muratore, Riccardo Rosati

Research output: Contribution to journalArticle

Abstract

Aim: To evaluate the impact of open or laparoscopic rectal surgery on pulmonary complications in elderly (>75 years old) patients. Methods: Data from consecutive patients who underwent elective laparoscopic or open rectal surgery for cancer were collected prospectively from 3 institutions. Pulmonary complications were defined according to the ACS/NSQUIP definition. Results: A total of 477 patients (laparoscopic group: 242, open group: 235) were included in the analysis. Postoperative pulmonary complications were significantly more common after open surgery (8 out of 242 patients (3.3%) versus 23 out of 235 patients (9.8%); p = 0.005). In addition, PPC occurrence was associated with the increasing of postoperative pain (5.04 ±1.62 versus 5.03 ± 1.58; p = 0.001) and the increasing of operative time (270.06 ±51.49 versus 237.37 ± 65.97; p = 0.001). Conclusion: Our results are encouraging to consider laparoscopic surgery a safety and effective way to treat rectal cancer in elderly patients, highlighting that laparoscopic surgery reduces the occurrence of postoperative pulmonary complications.

Original languageEnglish
Article number5893890
JournalGastroenterology Research and Practice
Volume2017
DOIs
Publication statusPublished - Oct 22 2017

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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