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Colorectal resection in nonagenarians: Effectiveness of laparoscopic surgery
Author(s) -
Soma Toshiya,
Sugano Motoki,
Kawasaki Chihiro,
Tsuji Masae,
Fukui Izumi
Publication year - 2014
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12105
Subject(s) - medicine , surgery , incidence (geometry) , laparoscopy , laparoscopic surgery , colectomy , general surgery , colorectal cancer , cancer , physics , optics
The number and proportion of elderly persons in the general population have been increasing. Inevitably, the incidence of colorectal carcinoma has also increased. Although substantial evidence indicates that surgery is well tolerated in patients 80 years or older, studies in nonagenarians are not well documented. Methods Consecutive nonagenarians and octogenarians who underwent elective laparoscopic‐assisted colectomy ( LAC ) from S eptember 2009 through O ctober 2011 were studied. Data on medical history, ASA score, details of operations, and postoperative events were collected. Results LAC was performed in nine nonagenarians and seven octogenarians. There were no complications related to laparoscopy. No patient required conversion from LAC to an open procedure or died postoperatively. Peristalsis was confirmed and oral intake was initiated on postoperative days 2.6 and 2.7, respectively. Conclusions Laparoscopic surgery is considered an extremely useful treatment for very old patients because it has a low risk of postoperative complications, even in the presence of pre‐existing diseases. We conclude that LAC may be indicated in nonagenarians.