Colorectal cancer: laparoscopic surgery in the elderly associated with better short-term outcomes vs open surgery

  • Cancer Med

  • de Alan Wardle
  • Résumé d’articles
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Takeaway

  • Results from this study suggest that laparoscopic surgery for colorectal cancer (CRC) in elderly patients may be safe and feasible, with better short-term outcomes vs open surgery although overall survival (OS) and recurrence-free survival (RFS) were not different.

Key results

  • In matched cohorts, operative time was longer in the laparoscopic vs the open surgery group (P<.001>
  • Among laparoscopic patients, time to flatus passage (P<.001 and length of postoperative hospital stay were shorter vs open surgery patients.>
  • Rate of operation-related morbidity was higher in the open surgery group (P=.019).
  • There was no difference in OS and RFS between the two groups.

Study design

  • Data were analyzed from 280 patients aged ≥80 who underwent surgery for CRC from 2001-2010; 71 pairs were selected after propensity score matching for laparoscopic or open surgery.
  • Operative time, return to normal bowel function, length of hospital stay, postoperative complications, OS, RFS, and prognostic factors affecting survival were investigated.

Why this matters

  • Operations on elderly CRC patients have increased with the aging of the population; this study evaluated surgical outcomes in elderly patients who underwent laparoscopic vs open surgery for CRC.