Sphincter-saving proctectomy for rectal cancer in the elderly

Michele Ammendola, Raffaele De Luca, Giuseppe Sammarco, Rosario Sacco, Severino Montemurro

Research output: Contribution to journalArticlepeer-review

Abstract

AIM: Rectal cancer shows a high incidence in older patients, however, only few reports focused exclusively on rectal cancer with the exclusion of the surgery of the colon. This retrospective study aims to compare short-term and long-term outcomes for rectal cancer in patients more than 75 years old with that observed in younger patients. MATERIAL OF STUDY: Four hundred consecutive patients operated on for primary rectal adenocarcinoma were collected in a prospective institutional database and divided into two groups: group 1 (≥ 75 years, n =98); group 2 (< 75 years, n= 302). Sphincter-saving restaurative proctectomy was the only procedure considered. Main clinical and pathological data, morbidity, clinical anastomotic leakage, reoperation rate, 30-day mortality, overall survival, and cancer-related survival were assessed and compared. RESULTS: In our experience, advanced age itself is not a contraindication for surgical sphincter-saving proctetomy in rectal cancer patients, although it is associated with higher morbidity and mortality. Overall survival is lower in patients over 75 age, but cancer-related survival is not different between the two groups. CONCLUSIONS: In our experience, advanced age itself is not a contraindication for surgical sphincter-saving proctetomy in rectal cancer patients, although it is associated with higher morbidity and mortality. Overall survival is lower in patients over 75 age, but cancer-related survival is not different between the two groups.

Original languageEnglish
Pages (from-to)257-262
Number of pages6
JournalAnnali Italiani di Chirurgia
Volume87
Issue number3
Publication statusPublished - 2016

Keywords

  • Elderly
  • Outcomes
  • Rectal cancer
  • Sphincter-saving
  • Surgery

ASJC Scopus subject areas

  • Surgery

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