Outcome of Colorectal Surgery in Elderly Populations

Mostafa Shalaby; Nicola Di Lorenzo; Luana Franceschilli; Federico Perrone; Giulio P. Angelucci; Silvia Quareisma; Achille L. Gaspari; Pierpaolo Sileri

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저자정보: Mostafa Shalaby (University of Rome Tor Vergata) Nicola Di Lorenzo (University of Rome Tor Vergata) Luana Franceschilli (University of Rome Tor Vergata) Federico Perrone (University of Rome Tor Vergata) Giulio P. Angelucci (University of Rome Tor Vergata) Silvia Quareisma (University of Rome Tor Vergata) Achille L. Gaspari (University of Rome Tor Vergata) Pierpaolo Sileri (University of Rome Tor Vergata)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.32 No.4

발행연도: 2016.1

수록면: 139 - 143 (5page)

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Purpose: The aim of this study is to investigate the impact of age on short-term outcomes after colorectal surgery in terms of the 30-day postoperative morbidity and mortality rates. Methods: The subjects for the study were patients who had undergone colorectal surgery. Patients were divided into 2 groups according to age; groups A and B patients were ≥80 and <80 years old of age, respectively. Both groups were manually matched for body mass index, American Society of Anesthesiologists score, Charlson Comorbidity Index and procedure performed. Results: A total of 200 patients, 91 men (45.5%) and 109 women (54.5%), were included in this retrospective study. These patients were equally divided into 2 groups. The mean ages were 85 years in group A (range, 80 to 104 years) and 55.3 years in group B (range, 13 to 79 years). The overall 30-day postoperative mortality rate was 1% of total 200 patients; both of these 2 patients were in group A. However, this observation had no statistical significance. No intraoperative complications were encountered in either group. The overall 30-day postoperative morbidity rate was 27% (54 of 200) for both groups. The 30-day postoperative morbidity rates in groups A and B were 28% (28 of 100) and 26% (26 of 100), respectively. However, these differences between the groups had no statistical significance importance. Conclusion: Age alone should not be considered to be more of a contraindication or a worse predictor than other factors for the outcome after colorectal surgery on elderly patients.

참고문헌 (15)

참고문헌 신청

World Health Organization / Ageing and life-course

Schwandner O / 1999 / Advanced age: indication or contraindication for laparoscopic colorectal surgery? / Dis Colon Rectum 42:356~362

Tan KY / 2010 / Optimizing the management of elderly colorectal surgery patients / Surg Today 40:999~1010

Tan WS / 2012 / Evaluation of laparoscopic versus open colorectal surgery in elderly patients more than 70 years old: an evaluation of 727 patients / Int J Colorectal Dis 27:773~780

Seishima R / 2015 / Is laparoscopic colorectal surgery beneficial for elderly patients? A systematic review and meta-analysis / J Gastrointest Surg 19:756~765

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