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KMID : 1188520110070020037
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Korean Journal of Clinical Oncology
2011 Volume.7 No. 2 p.37 ~ p.43
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Short-term Outcomes of Laparoscopic Colonic Resection in Colorectal Cancer Patients Older than 80 Years of Age
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Song Eun-Jin
Kim Hee-Cheol
Cho Yong-Beom
Yun Seong-Hyeon
Lee Woo-Yong
Chun Ho-Kyung
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Abstract
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Purpose: The safety and feasibility of laparoscopic colonic resection in elderly colorectal cancer patients remains to be verified. The aim of this study was to determine the safety and feasibility of laparoscopic colonic resection compared to open colonic resection for colorectal cancer in patients older than 80 years of age.
Methods: One hundred ninety two patients older than 80 years of age underwent curative resection for colorectal cancer. Twenty-four (12.4%) patients who had been operated by laparoscopic surgery were compared with 168 (87.6%) patients who had undergone open colonic resection.
Results: The mean age of the 192 patients was 81.9 years. The postoperative complication and mortality were 17.1% and 1.5%, respectively. The preoperative clinical parameters were similar between the two groups. The surgery time was longer in the laparoscopic group, but not significantly. The intraoperative blood loss was less in the laparoscopic group (p=0.025). The major postoperative complications in the laparoscopic group and the open groups were significantly different (0% vs 19.0%, p=0.018). There was no postoperative mortality in the laparoscopic group, but 3 cases (1.7%) of mortality were seen in the open group (p=0.594).
Conclusion: Laparoscopic colonic resection in elderly colorectal cancer patients is safe and feasible. Therefore, laparoscopic colonic resection can be recommended as an alternative treatment for colorectal cancer in patients over 80 years of age.
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KEYWORD
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Laparoscopy, Old age, Colorectal cancer, Octogenarian
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