ArticleSurgery today2017
Safety of laparoscopic surgery for colorectal cancer in patients over 80 years old: a propensity score matching study.
Article in Surgery today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Evaluation of the safety and efficacy of perform enterectomy in colorectal cancer patients aged 80 or older. A meta-analysis and a systematic review.International journal of colorectal disease · 2023Pooled it
- Trial
- Predictors of complications after prophylactic ileostomy reversal for rectal cancer: A retrospective study.World journal of gastrointestinal surgery · 2024Article
- Establishment and application of three predictive models of anastomotic leakage after rectal cancer sphincter-preserving surgery.World journal of gastrointestinal surgery · 2023Article
- Robotic and laparoscopic surgical procedures for colorectal cancer.Journal of robotic surgery · 2023Article
- Short-term and long-term outcomes after laparoscopic surgery for elderly patients with colorectal cancer aged over 80 years: a propensity score matching analysis.International journal of colorectal disease · 2021Article
- Evaluation of short- and long-term outcomes following laparoscopic surgery for colorectal cancer in elderly patients aged over 80 years old: a propensity score-matched analysis.International journal of colorectal disease · 2021Article
- The safety of early versus late ileostomy reversal after low anterior rectal resection: a retrospective study in 47 patients.Patient safety in surgery · 2021Article
- Lymph node retrieval after colorectal cancer surgery: a comparative study of the efficacy between the conventional manual method and a new fat dissolution method.Surgery today · 2020Article
- Is laparoscopic colorectal surgery with continuation of antiplatelet therapy safe without increasing bleeding complications?Surgery today · 2019Article
- D3 lymph node dissection reduces recurrence after primary resection for elderly patients with colon cancer.International journal of colorectal disease · 2019Article
- Short-term outcomes of laparoscopic surgery in octogenarians with colorectal cancer: a single-institution analysis.Surgery today · 2018Article
- Lymph node retrieval after dissolution of surrounding adipose tissue for pathological examination of colorectal cancer.Oncology letters · 2018Article
- Factors influencing the number of retrieved lymph nodes after colorectal resection: a retrospective study from a single institute.International journal of clinical and experimental pathology · 2018Article
- Surgery or stereotactic body radiotherapy for elderly stage I lung cancer? A propensity score matching analysis.Surgery today · 2017Article
- Neoadjuvant CapeOx therapy followed by sphincter-preserving surgery for lower rectal cancer.Surgery today · 2017Article
- Risk factors for complications after diverting ileostomy closure in patients who have undergone rectal cancer surgery.Surgery today · 2017Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposesTo establish the safety of laparoscopic-assisted colorectal resection for colorectal cancer in elderly patients aged ≥80 years.
methodsData were obtained from a chart review of patients who underwent colorectal cancer resection between 2009 and 2014 in Kochi Medical School. The effect of patient age on the extent of lymph node dissection and operative safety was assessed by comparing the short-term results of elderly patients with those of younger patients after propensity score matching.
resultsOf a total of 506 patients with colorectal cancer, 398 underwent laparoscopic surgery and 23% of these patients were aged ≥80 years old. The elderly patients tended to have poorer general condition and larger tumors, although no significant differences were found in tumor invasion, lymph node metastasis, or synchronous distant metastasis between the groups. After adjustment for preoperative factors, we noted that the elderly patients tended to undergo less aggressive surgical resection (P = 0.01). Further analysis after including surgical factors for propensity score matching revealed a similar rate of complications in the two groups (24 vs. 25%, respectively; P = 0.85), and similar postoperative death rates and length of postoperative hospital stay.
conclusionThe findings of the present study demonstrate that laparoscopic surgery for colorectal cancer should not be avoided based on simply the age of the patient.
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