Abstract | Background: From 2004 to 2014, 821 colorectal cancer primary resections were conducted at our institution. Of these, 102 patients (12.4%) were older adults over 80 years old. underwent either the conventional laparotomy group (72 patients) or the hand-assisted laparoscopic surgery (HALS) group (30 patients). Methods: Data were extracted for 102 patients over 80 years old who underwent primary resection for colorectal cancer and were divided into two groups: conventional laparotomy (CL) (n=72) and hand-assisted laparoscopy ( n=30). Pre-operative characteristics and outcomes were compared. Results: Baseline characteristics were similar between groups, except for age: CL group median 83.5 years old (range, 80-92 years old) and hand-assisted laparoscopy (HALS) group median 81.5 years old (range, 80-88 years old) (P=0.027). Pre-operative cardiac and lung function risk, performance status, and pathological classification stage (pStage) were almost similar between groups (P=0.668, P=0.176, P>0.999, P=0.217). No significant differences were found for operation time. The HALS group resulted in less blood loss (median 204 mL in the CL group and median 68 mL in the HALS group, P=0.003), shorter postoperative hospital stay (median was 18 days in the CL group and median was 12 days in the HALS group, P<0.001), and fewer postoperative wound infections (18 cases in the CL group and 2 cases in the HALS group, P=0.034). Five-year relapse-free survival (5Y-RFS) was 48.1% in the CL group and 73.3% in the HALS group (P=0.028). Five-year overall survival (5Y-OS) was 48.2% in the CL group and 73.3% in the HALS group (P=0.027). Conclusions:
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Authors | Takuya Koike, Masaya Mukai, Rin Abe, Yutaro Kamei, Daiki Yokoyama, Shuji Uda, Shigeo Higami, Sayuri Hasegawa, Tomoki Nakamura, Takayuki Tajima, Eiji Nomura, Hiroyasu Makuuchi |
Journal | Journal of gastrointestinal oncology
(J Gastrointest Oncol)
Vol. 13
Issue 3
Pg. 1073-1080
(Jun 2022)
ISSN: 2078-6891 [Print] China |
PMID | 35837154
(Publication Type: Journal Article)
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Copyright | 2022 Journal of Gastrointestinal Oncology. All rights reserved. |