Sphincter-saving proctectomy for rectal cancer in the elderly

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

Research output: Contribution to journalArticle

1 Citation (Scopus)

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

Fingerprint

Rectal Neoplasms
Survival
Morbidity
Mortality
Neoplasms
Anastomotic Leak
Reoperation
Colon
Adenocarcinoma
Retrospective Studies
Databases
Incidence

Keywords

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

ASJC Scopus subject areas

  • Surgery

Cite this

Ammendola, M., De Luca, R., Sammarco, G., Sacco, R., & Montemurro, S. (2016). Sphincter-saving proctectomy for rectal cancer in the elderly. Annali Italiani di Chirurgia, 87(3), 257-262.

Sphincter-saving proctectomy for rectal cancer in the elderly. / Ammendola, Michele; De Luca, Raffaele; Sammarco, Giuseppe; Sacco, Rosario; Montemurro, Severino.

In: Annali Italiani di Chirurgia, Vol. 87, No. 3, 2016, p. 257-262.

Research output: Contribution to journalArticle

Ammendola, M, De Luca, R, Sammarco, G, Sacco, R & Montemurro, S 2016, 'Sphincter-saving proctectomy for rectal cancer in the elderly', Annali Italiani di Chirurgia, vol. 87, no. 3, pp. 257-262.
Ammendola M, De Luca R, Sammarco G, Sacco R, Montemurro S. Sphincter-saving proctectomy for rectal cancer in the elderly. Annali Italiani di Chirurgia. 2016;87(3):257-262.
Ammendola, Michele ; De Luca, Raffaele ; Sammarco, Giuseppe ; Sacco, Rosario ; Montemurro, Severino. / Sphincter-saving proctectomy for rectal cancer in the elderly. In: Annali Italiani di Chirurgia. 2016 ; Vol. 87, No. 3. pp. 257-262.
@article{e47a8a1077c34f599768450ed8f91c64,
title = "Sphincter-saving proctectomy for rectal cancer in the elderly",
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.",
keywords = "Elderly, Outcomes, Rectal cancer, Sphincter-saving, Surgery",
author = "Michele Ammendola and {De Luca}, Raffaele and Giuseppe Sammarco and Rosario Sacco and Severino Montemurro",
year = "2016",
language = "English",
volume = "87",
pages = "257--262",
journal = "Annali Italiani di Chirurgia",
issn = "0003-469X",
publisher = "Edizioni Luigi Pozzi S.r.l.",
number = "3",

}

TY - JOUR

T1 - Sphincter-saving proctectomy for rectal cancer in the elderly

AU - Ammendola, Michele

AU - De Luca, Raffaele

AU - Sammarco, Giuseppe

AU - Sacco, Rosario

AU - Montemurro, Severino

PY - 2016

Y1 - 2016

N2 - 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.

AB - 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.

KW - Elderly

KW - Outcomes

KW - Rectal cancer

KW - Sphincter-saving

KW - Surgery

UR - http://www.scopus.com/inward/record.url?scp=84988345869&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84988345869&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84988345869

VL - 87

SP - 257

EP - 262

JO - Annali Italiani di Chirurgia

JF - Annali Italiani di Chirurgia

SN - 0003-469X

IS - 3

ER -