Age Over 80 is a Possible Risk Factor for Postoperative Morbidity After a Laparoscopic Resection of Colorectal Cancer

With extended life expectancy, the mean age of patients at the time of diagnosis of colorectal cancer and its treatment, including radical resection, is increasing gradually. We aimed to evaluate the impact of age on postoperative clinical outcomes after a laparoscopic resection of colorectal cancer...

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Bibliographic Details
Published in:	Annals of coloproctology Vol. 31; no. 6; pp. 228 - 234
Main Authors:	Kang, Taekhyun, Kim, Hyung Ook, Kim, Hungdai, Chun, Ho-Kyung, Han, Won Kon, Jung, Kyung Uk
Format:	Journal Article
Language:	English
Published:	Korea (South) The Korean Society of Coloproctology 01-12-2015 대한대장항문학회
Subjects:	Original 일반외과학 Colonic neoplasms Aged Laparoscopy
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Summary:	With extended life expectancy, the mean age of patients at the time of diagnosis of colorectal cancer and its treatment, including radical resection, is increasing gradually. We aimed to evaluate the impact of age on postoperative clinical outcomes after a laparoscopic resection of colorectal cancers. This is a retrospective review of prospectively collected data. Patients with primary colorectal malignancies or premalignant lesions who underwent laparoscopic colectomies between January 2009 and April 2013 were identified. Patients were divided into 6 groups by age using 70, 75, and 80 years as cutoffs: younger than 70, 70 or older, younger than 75, 75 or older, younger than 80, and 80 or older. Demographics, pathological parameters, and postoperative clinical outcomes, including postoperative morbidity, were compared between the younger and the older age groups. All 578 patients underwent a laparoscopic colorectal resection. The overall postoperative complication rate was 21.1% (n = 122). There were 4 cases of operative mortality (0.7%). Postoperative complication rates were consistently higher in the older groups at all three cutoffs; however, only the comparison with a cutoff at 80 years showed a statistically significant difference between the younger and the older groups. Age over 80 is a possible risk factor for postoperative morbidity after a laparoscopic resection of colorectal cancer.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 G704-001375.2015.31.6.001
ISSN:	2287-9714 2287-9722
DOI:	10.3393/ac.2015.31.6.228