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Korean Journal of Clinical Oncology > Volume 7(2); 2011 > Article
ORIGINAL ARTICLE
Korean J Clin Oncol. 2011;7(2): 37-43.         doi: https://doi.org/10.14216/kjco.11017
Short-term Outcomes of Laparoscopic Colonic Resection in Colorectal Cancer Patients Older than 80 Years of Age
Eun Jin Song, Hee Cheol Kim, Yong Beom Cho, Seong Hyeon Yun, Woo Yong Lee, Ho-Kyung Chun
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine
80세 이상 대장암 환자에서 복강경 대장절제술의 안전성
송은진, 김희철, 조용범, 윤성현, 이우용, 전호경
성균관대학교 의과대학, 삼성서울병원 외과학 교실
Corresponding Author: Hee Cheol Kim ,Tel: +82-2-3410-1655, Fax: +82-2-3410-6980, Email: hckim@skku.edu/hckimcrc@gmail.com
Received: September 23, 2011;  Accepted: October 20, 2011.
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ABSTRACT
Purpose : The safety and feasibility of laparoscopic colonic resection in elderly colorectal cancer patients remains to be verified. The aim of this study was to determine the safety and feasibility of laparoscopic colonic resection compared to open colonic resection for colorectal cancer in patients older than 80 years of age. Methods : One hundred ninety two patients older than 80 years of age underwent curative resection for colorectal cancer. Twenty-four (12.4%) patients who had been operated by laparoscopic surgery were compared with 168 (87.6%) patients who had undergone open colonic resection. Results : The mean age of the 192 patients was 81.9 years. The postoperative complication and mortality were 17.1% and 1.5%, respectively. The preoperative clinical parameters were similar between the two groups. The surgery time was longer in the laparoscopic group, but not significantly. The intraoperative blood loss was less in the laparoscopic group (p=0.025). The major postoperative complications in the laparoscopic group and the open groups were significantly different (0% vs 19.0%, p=0.018). There was no postoperative mortality in the laparoscopic group, but 3 cases (1.7%) of mortality were seen in the open group (p=0.594). Conclusion : Laparoscopic colonic resection in elderly colorectal cancer patients is safe and feasible. Therefore, laparoscopic colonic resection can be recommended as an alternative treatment for colorectal cancer in patients over 80 years of age.
Keywords: Laparoscopy | Old age | Colorectal cancer | Octogenarian
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