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BMC Surg. 2012;12 Suppl 1:S8. doi: 10.1186/1471-2482-12-S1-S8. Epub 2012 Nov 15.

Early outcomes of colon laparoscopic resection in the elderly patients compared with the younger.

Author information

1
Evangelic Hospital Villa Betania, Via Argine 604, Naples, Italy. dimaiovittorio@hotmail.it

Abstract

BACKGROUND:

The aim of this study was to define any benefits in terms of early outcome for laparoscopic colectomy in patients over 75 years old (OP) compared with the outcomes of a younger populations (YP).

METHODS:

Forty elderly patients undergoing laparoscopic colectomy for colorectal cancer between 2007-2011 were studied, the patients are divided for gender, age, year of surgery, site of cancer, and comorbidity on admission and compared with 40 younger patients.

RESULTS AND DISCUSSION:

Mean (standard deviation) age was 81.3 in OP and 68.3 YP Conversion rate was the same between the two groups. There was no difference in operative mean time . The overall mortality rate was 0% percent. The surgical morbidity rate was the same but there was an increased in cardiologic e bronchopneumonia complications in older population. Patients treated with laparoscopic approach had a faster recovery of bowel function and a significant reduction of the mean length of hospital stay not age related. Laparoscopy allowed a better preservation of postoperative independence status.

CONCLUSIONS:

Laparoscopic colectomy for cancer in elderly patients is safe and beneficial including preservation of postoperative independence and a reduction of length of hospital stay.

PMID:
23173882
PMCID:
PMC3499266
DOI:
10.1186/1471-2482-12-S1-S8
[Indexed for MEDLINE]
Free PMC Article

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