SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2015
Is laparoscopic colorectal surgery beneficial for elderly patients? A systematic review and meta-analysis.
Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03765411 (Safe Surgery in the Elderly), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Safe Surgery in the Elderly: A Review of Outcomes Following Robotic Proctectomy From the Nationwide Inpatient Sample, a Retrospective Cross Sectional Cohort Study. Cross-Sectional Study
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Laparoscopic hepatectomy for elderly patients: Major findings based on a systematic review and meta-analysis.Medicine · 2018Pooled it
- Robotic versus laparoscopic surgery in older colorectal cancer patients: a comparison of clinical outcomes and inflammatory markers.BMC geriatrics · 2026Article
- Perioperative outcomes of robotic-assisted vs. conventional laparoscopy for colorectal cancer resection: a systematic review and meta-analysis.Frontiers in surgery · 2026Review
- Impact of the learning curve on the outcomes of robotic surgery in obese patients with rectal cancer.Surgery today · 2026Article
- Impact of a minimally invasive approach for colon cancer surgery on outcomes in patients with functional limitations.Colorectal cancer · 2025Article
- Effect of screening colonoscopy frequency on colorectal cancer mortality in patients with a family history of colorectal cancer.World journal of gastrointestinal oncology · 2024Article
- Outcomes of Laparoscopic Surgery in Very Elderly Patients with Colorectal Cancer: A Survival Analysis and Comparative Study.Journal of clinical medicine · 2023Article
- Benefits of minimally invasive surgery for rectal cancer in older adults compared with younger adults: a retrospective study.Journal of robotic surgery · 2023Article
- Comparison of short-term outcomes and survival between minimally invasive colectomy and open colectomy in patients 80 years of age and older.Journal of robotic surgery · 2023Article
- Effects of sarcopenia and myosteatosis are alleviated in reduced port surgery for diverticulitis.International journal of colorectal disease · 2023Article
- Frailty Assessment and Prehabilitation as Part of a PeRioperative Evaluation and Planning (PREP) Program for Patients Undergoing Colorectal Surgery.Clinics in colon and rectal surgery · 2023Review
- Surgery for T4 Colorectal Cancer in Older Patients: Determinants of Outcomes.Journal of personalized medicine · 2022Article
- Robotic versus laparoscopic colorectal surgery in elderly patients in terms of recovery time: a monocentric experience.Journal of robotic surgery · 2022Article
- Surgical Considerations for Older Adults With Cancer: A Multidimensional, Multiphase Pathway to Improve Care.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021Review
- Article
- Do older patients (> 80 years) also benefit from ERAS after colorectal resection? A safety and feasibility study.Aging clinical and experimental research · 2021Article
- Age and comorbidities do not affect short-term outcomes after laparoscopic rectal cancer resection in elderly patients. A multi-institutional cohort study in 287 patients.Updates in surgery · 2021Article
- Safety and feasibility of laparoscopic surgery for elderly rectal cancer patients in Japan: a nationwide study.BJS open · 2021Article
- Effect of Age on Laparoscopic Surgery and Postoperative Chemotherapy in Elderly Patients With Colorectal Cancer.Annals of coloproctology · 2020Article
- Risk factors of short-term survival in the aged in elective colon cancer surgery: a population-based study.International journal of colorectal disease · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElderly patients who undergo major abdominal surgery are potentially at a higher risk of perioperative mortality and postoperative complications. Although laparoscopic surgery has been widely accepted as a less invasive surgical procedure for colorectal diseases, the benefits for elderly patients have not been validated.
aimTo compare postoperative outcomes and long-term survival between laparoscopic and open colorectal surgery in the elderly population.
methodsA literature search was electronically performed to identify all studies comparing postoperative outcomes between laparoscopic and open colorectal resections in the elderly population. Primary outcomes were postoperative mortality and complications, and the secondary outcome was long-term survival.
resultsOverall, 30 studies (70,946 patients) met our inclusion criteria. Laparoscopic surgery was significantly associated with a decreased risk of perioperative mortality [odds ratio (OR), 0.55; 95% confidence interval (CI), 0.45-0.68; P < 0.01] and postoperative complications (OR, 0.55; 95% CI, 0.48-0.63; P < 0.01) compared with open surgery. There was no significant difference in long-term survival between the two procedures (OR, 0.89; 95% CI, 0.72-1.07; P = 0.31).
conclusionsLaparoscopic colorectal surgery in the elderly population has significant advantages in terms of short-term outcomes. Aggressive application of laparoscopic colorectal surgery should be considered for the elderly population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.