- 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.
- 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.
- 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.