Colorectal surgery in octogenarian patients: is it safe?

Year 2017, Volume: 3 Issue: 2, 111 - 117, 04.07.2017

Haci Murat Cayci , Umut Eren Erdogdu , Mehmet Akif Turkoglu , Suleyman Orman , Hasan Cantay Evren Dilektasli

https://doi.org/10.18621/eurj.286030

Abstract

Objectives. The aim of this
study was to evaluate the efficiency and safety of resection for colorectal
malignancy in elderly patients, by comparing the data from octogenarian (80+
years) patients with other patients of different ages undergoing this
procedure. Methods. Data from 80 patients who underwent elective surgery
for colorectal malignancy,by a single surgeon in the same center between the
dates of May 2013 and May 2015, were evaluated retrospectively. For comparison
purposes, patients were classified into three age groups: 65 years and under;
between the ages of 66 and 79; and 80+ years old. Demographic features; the
presence of comorbidity; colon tumor location; permeation features during colonoscopy;
resection type and method; morbidity and mortality; lymph node metastasis and
stage of the disease; follow-up period; recurrence during follow-up; and
survival data of the patients were recorded and evaluated. Results. Statistically,
no significant difference was detected between the three age groups in terms of
demographic features; presence of comorbidity; colon tumor location; permeation
features in colonoscopy; resection type and method; morbidity and mortality;
lymph node metastasis and stage of the disease; follow-up period; recurrence
during follow-up; or survival data. Conclusion. Curative resections for
colorectal cancer can be safely carried out in octogenarian patients. 

Keywords

Octogenarian, colorectal malignancy, Surgery

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