ArticleBMC surgery2019
Laparoscopic vs open colorectal cancer surgery in elderly patients: short- and long-term outcomes and predictors for overall and disease-free survival.
Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- EAES/SAGES evidence-based recommendations and expert consensus on optimization of perioperative care in older adults.Surgical endoscopy · 2024Guideline
- Long-term results of a randomized study comparing open surgery and laparoscopic surgery in elderly colorectal cancer patients (Eld Lap study).Surgical endoscopy · 2021Trial
- Risk factors for postoperative complications after colorectal surgery in patients aged ≥ 80 years: A multicenter retrospective study.Surgery today · 2026Article
- Multimodal radiomics for precision management of colorectal cancer.Discover oncology · 2026Review
- Healthcare trajectories following cancer surgery in older adults: insights from the French health data system.BMC geriatrics · 2026Observational
- Frailty Recovery Following Minimally Invasive Surgery: An Emerging Perspective on Surgical Benefits in Elderly Colorectal Cancer Patients.Annals of gastroenterological surgery · 2026Article
- Article
- Long-term survival outcomes of laparoscopic surgery in patients with colorectal cancer: A propensity score matching retrospective cohort study.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2024Article
- Five-year oncological outcomes after enhanced recovery after surgery (ERAS) compared to conventional care for colorectal cancer: a retrospective cohort of 981 patients.Techniques in coloproctology · 2024Article
- Short- and long-term outcomes of laparoscopic right hemicolectomy with D3 resection for right colon cancer in elderly patients.Langenbeck's archives of surgery · 2024Article
- The association of perioperative blood transfusion with survival outcomes after major cancer surgery: a population-based cohort study in South Korea.Surgery today · 2024Article
- Clinical effect of laparoscopic radical resection of colorectal cancer based on propensity score matching.World journal of gastrointestinal surgery · 2024Article
- Survival benefit of surgery in elderly patients with locally advanced rectal cancer.American journal of cancer research · 2024Article
- Long-term outcomes in elderly patients after elective surgery for colorectal cancer within an ERAS protocol: a retrospective analysis.Langenbeck's archives of surgery · 2023Article
- Outcomes of Laparoscopic Surgery in Very Elderly Patients with Colorectal Cancer: A Survival Analysis and Comparative Study.Journal of clinical medicine · 2023Article
- Short- and long-term results of openWorld journal of gastrointestinal surgery · 2023Article
- The five-item modified frailty index predicts long-term outcomes in elderly patients undergoing colorectal cancer surgery.World journal of surgical oncology · 2023Article
- Article
- The safety and prognosis of radical surgery in colorectal cancer patients over 80 years old.BMC surgery · 2023Article
- Laparoscopic surgery for colorectal cancer in an elderly population with high comorbidity: a single centre experience.International journal of colorectal disease · 2022Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 2 countries.
Funding
Abstract
backgroundColorectal cancer is common in elderly patients. Laparoscopy is widely used to approach this kind of disease. This study was to examine short-term outcomes and long-term survival for laparoscopic and open surgery in elderly patients with colorectal cancer.
methodsFrom January 2007 to December 2018, patients with colorectal cancer older than 80 operated at China National Cancer Center were included in the study. Propensity score matching (PSM) was used to minimize the adverse effects. The clinical data between open and laparoscopic surgery was compared, and the effect of factors on overall survival (OS) and disease-free survival (DFS) was analyzed by Cox proportional hazard model.
resultsNinety-three pairs were selected after PSM. Patients in laparoscopic group had less intraoperative blood loss, postoperative complications, time to first flatus, time to oral feeding, postoperative hospital stay, and higher retrieved lymph node (P < 0.05). The OS and DFS rates were similar (P > 0.05), besides the CEA level, III/IV stage, and perineural invasion were independent predictors of survival (P < 0.05).
conclusionIn elderly patients with colorectal cancer, laparoscopic surgery had better short-term outcomes than open surgery. CEA level, III/IV stage, and perineural invasion were reliable predictors for OS and DFS.
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