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Titolo:
Laparoscopic colorectal resection in octogenarians
Autore:
Seshadri, PA; Mamazza, J; Schlachta, CM; Cadeddu, MO; Poulin, EC;
Indirizzi:
Univ Toronto, St Michaels Hosp, Ctr Minimally Invas Surg, Toronto, ON M4Y 1J3, Canada Univ Toronto Toronto ON Canada M4Y 1J3 Surg, Toronto, ON M4Y 1J3, Canada
Titolo Testata:
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 8, volume: 15, anno: 2001,
pagine: 802 - 805
SICI:
0930-2794(200108)15:8<802:LCRIO>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
ELDERLY PATIENTS; COLON RESECTION; SURGICAL CARE; SURGERY; CANCER; OLDER; COLECTOMY; AGE; CARCINOMA; SURVIVAL;
Keywords:
laparoscopic procedures; colorectal surgery; colectomy; octogenarians;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Poulin, EC Univ Toronto, St Michaels Hosp, Ctr Minimally Invas Surg, 160 Wellesley StE,Jones Bldg 218, Toronto, ON M4Y 1J3, Canada Univ Toronto 160 Wellesley St E,Jones Bldg 218 Toronto ON Canada M4Y 1J3
Citazione:
P.A. Seshadri et al., "Laparoscopic colorectal resection in octogenarians", SURG ENDOSC, 15(8), 2001, pp. 802-805

Abstract

Background: The number and proportion of patients aged greater than or equal to 80 years are increasing. These patients often require surgical care and suffer subsequent high rates of morbidity and mortality. However, the surgical outcomes of laparoscopic colorectal resection in octogenarians are not well documented. Methods: Octogenarians were identified from a large prospective database comprising 507 consecutive laparoscopic colorectal resections performed between 1991 and 1999 in a university setting. Preoperative comorbidity and surgical outcomes were analyzed. Results: Sixty-two patients (30 men, 32 women) aged greater than or equal to 80 years were identified. Their mean age and weight were 85 years and 63kg, respectively. Seven patients (11%) were converted to an open procedure. Four (6%) intraoperative complications occurred in four patients (one colon perforation, one small bowel perforation, one burned gallbladder serosa,and one missed lesion), necessitating two conversions. Twenty-four postoperative complications occurred in 19 patients (31%) (six ileus [10%], five wound infections [8%], five cardiac problems [8%], two urinary retentions [3%], two hemorrhages [3%], one abscess [2%], one pneumonia [2%], and two other [3%]). Intraoperative complications did not increase postoperative morbidity. Three patients (5%) died within 30 days of surgery. When the procedure was completed laparoscopically, the overall median postoperative hospitalstay was 10.0 days; occurrence of a postoperative complication increased the median length of stay to 15.0 days. Conclusions: These results are superior to published historical controls involving open colorectal resection in octogenarians. Overall mortality, lung, and urinary tract complications were decreased, and there were no reoperations for small bowel obstruction. Laparoscopic colorectal resection is technically feasible and can be done safely in elderly patients. Results require randomization against those for open surgery to elucida to the real advantages of this technique.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 08:05:14