Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients

Zexian Chen; Xiaosheng He; Juanni Huang; Xiaojian Wu; Ping Lan

doi:doi:10.11648/j.js.20160402.15

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Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients

Zexian Chen, Xiaosheng He, Juanni Huang, Xiaojian Wu, Ping Lan

Published in Journal of Surgery (Volume 4, Issue 2)

Received: 8 April 2016 Published: 9 April 2016

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Abstract

With the increase of life expectancy, surgical intervention for rectal cancer is more and more frequently performed in the elderly. It is well accepted that laparoscopic surgery is of advantage, but not widely recognized in old patients with rectal cancer. In order to assess laparoscopic surgery for rectal cancer in elderly patients, we performed this study. This retrospective study was designed to compare short-term outcomes between laparoscopic surgery and open surgery in elderly patients with rectal cancer, which may give some useful guidance in the clinical practice. Thirty-seven patients with rectal cancer aged 75 and older undergoing laparoscopic surgery were matched with 37 counterparts undergoing open surgery. Criteria of matching included general information and preoperative status. Patients in the laparoscopic surgery and open surgery groups were comparable for the matching criteria. Compared with the open surgery group, estimated blood loss (P=0.048) and intraoperative transfusion (P=0.042) were less in the laparoscopic surgery group. As to short-term postoperative outcomes, duration of postoperative hospital stay was shorter (P = 0.039) and overall complication (P = 0.032) and wound complication (P = 0.038) was less in the laparoscopic surgery group than in the open surgery group. In conclusion, considering the operative variables and short-term outcomes, laparoscopic surgery is safe and seems superior to open surgery in elderly patients with rectal cancer. However, further studies with more patients are needed to confirm the results and assess long-term results.

Published in	Journal of Surgery (Volume 4, Issue 2)
DOI	10.11648/j.js.20160402.15
Page(s)	27-30
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Laparoscopic Surgery, Open Surgery, Elderly Patients, Rectal Cancer

References

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APA Style

Zexian Chen, Xiaosheng He, Juanni Huang, Xiaojian Wu, Ping Lan. (2016). Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients. Journal of Surgery, 4(2), 27-30. https://doi.org/10.11648/j.js.20160402.15

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ACS Style

Zexian Chen; Xiaosheng He; Juanni Huang; Xiaojian Wu; Ping Lan. Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients. J. Surg. 2016, 4(2), 27-30. doi: 10.11648/j.js.20160402.15

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AMA Style

Zexian Chen, Xiaosheng He, Juanni Huang, Xiaojian Wu, Ping Lan. Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients. J Surg. 2016;4(2):27-30. doi: 10.11648/j.js.20160402.15

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@article{10.11648/j.js.20160402.15,
  author = {Zexian Chen and Xiaosheng He and Juanni Huang and Xiaojian Wu and Ping Lan},
  title = {Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients},
  journal = {Journal of Surgery},
  volume = {4},
  number = {2},
  pages = {27-30},
  doi = {10.11648/j.js.20160402.15},
  url = {https://doi.org/10.11648/j.js.20160402.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20160402.15},
  abstract = {With the increase of life expectancy, surgical intervention for rectal cancer is more and more frequently performed in the elderly. It is well accepted that laparoscopic surgery is of advantage, but not widely recognized in old patients with rectal cancer. In order to assess laparoscopic surgery for rectal cancer in elderly patients, we performed this study. This retrospective study was designed to compare short-term outcomes between laparoscopic surgery and open surgery in elderly patients with rectal cancer, which may give some useful guidance in the clinical practice. Thirty-seven patients with rectal cancer aged 75 and older undergoing laparoscopic surgery were matched with 37 counterparts undergoing open surgery. Criteria of matching included general information and preoperative status. Patients in the laparoscopic surgery and open surgery groups were comparable for the matching criteria. Compared with the open surgery group, estimated blood loss (P=0.048) and intraoperative transfusion (P=0.042) were less in the laparoscopic surgery group. As to short-term postoperative outcomes, duration of postoperative hospital stay was shorter (P = 0.039) and overall complication (P = 0.032) and wound complication (P = 0.038) was less in the laparoscopic surgery group than in the open surgery group. In conclusion, considering the operative variables and short-term outcomes, laparoscopic surgery is safe and seems superior to open surgery in elderly patients with rectal cancer. However, further studies with more patients are needed to confirm the results and assess long-term results.},
 year = {2016}
}

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TY - JOUR
T1 - Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients
AU - Zexian Chen
AU - Xiaosheng He
AU - Juanni Huang
AU - Xiaojian Wu
AU - Ping Lan
Y1 - 2016/04/09
PY - 2016
N1 - https://doi.org/10.11648/j.js.20160402.15
DO - 10.11648/j.js.20160402.15
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 27
EP - 30
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20160402.15
AB - With the increase of life expectancy, surgical intervention for rectal cancer is more and more frequently performed in the elderly. It is well accepted that laparoscopic surgery is of advantage, but not widely recognized in old patients with rectal cancer. In order to assess laparoscopic surgery for rectal cancer in elderly patients, we performed this study. This retrospective study was designed to compare short-term outcomes between laparoscopic surgery and open surgery in elderly patients with rectal cancer, which may give some useful guidance in the clinical practice. Thirty-seven patients with rectal cancer aged 75 and older undergoing laparoscopic surgery were matched with 37 counterparts undergoing open surgery. Criteria of matching included general information and preoperative status. Patients in the laparoscopic surgery and open surgery groups were comparable for the matching criteria. Compared with the open surgery group, estimated blood loss (P=0.048) and intraoperative transfusion (P=0.042) were less in the laparoscopic surgery group. As to short-term postoperative outcomes, duration of postoperative hospital stay was shorter (P = 0.039) and overall complication (P = 0.032) and wound complication (P = 0.038) was less in the laparoscopic surgery group than in the open surgery group. In conclusion, considering the operative variables and short-term outcomes, laparoscopic surgery is safe and seems superior to open surgery in elderly patients with rectal cancer. However, further studies with more patients are needed to confirm the results and assess long-term results.
VL - 4
IS - 2
ER -

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Author Information

Zexian Chen

Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
Xiaosheng He

Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
Juanni Huang

Department of Geriatric, the First Affiliated Hospital, Guangzhou Medical University, Guangzhou, China
Xiaojian Wu

Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
Ping Lan

Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

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APA Style

Zexian Chen, Xiaosheng He, Juanni Huang, Xiaojian Wu, Ping Lan. (2016). Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients. Journal of Surgery, 4(2), 27-30. https://doi.org/10.11648/j.js.20160402.15

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ACS Style

Zexian Chen; Xiaosheng He; Juanni Huang; Xiaojian Wu; Ping Lan. Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients. J. Surg. 2016, 4(2), 27-30. doi: 10.11648/j.js.20160402.15

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AMA Style

Zexian Chen, Xiaosheng He, Juanni Huang, Xiaojian Wu, Ping Lan. Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients. J Surg. 2016;4(2):27-30. doi: 10.11648/j.js.20160402.15

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@article{10.11648/j.js.20160402.15,
  author = {Zexian Chen and Xiaosheng He and Juanni Huang and Xiaojian Wu and Ping Lan},
  title = {Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients},
  journal = {Journal of Surgery},
  volume = {4},
  number = {2},
  pages = {27-30},
  doi = {10.11648/j.js.20160402.15},
  url = {https://doi.org/10.11648/j.js.20160402.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20160402.15},
  abstract = {With the increase of life expectancy, surgical intervention for rectal cancer is more and more frequently performed in the elderly. It is well accepted that laparoscopic surgery is of advantage, but not widely recognized in old patients with rectal cancer. In order to assess laparoscopic surgery for rectal cancer in elderly patients, we performed this study. This retrospective study was designed to compare short-term outcomes between laparoscopic surgery and open surgery in elderly patients with rectal cancer, which may give some useful guidance in the clinical practice. Thirty-seven patients with rectal cancer aged 75 and older undergoing laparoscopic surgery were matched with 37 counterparts undergoing open surgery. Criteria of matching included general information and preoperative status. Patients in the laparoscopic surgery and open surgery groups were comparable for the matching criteria. Compared with the open surgery group, estimated blood loss (P=0.048) and intraoperative transfusion (P=0.042) were less in the laparoscopic surgery group. As to short-term postoperative outcomes, duration of postoperative hospital stay was shorter (P = 0.039) and overall complication (P = 0.032) and wound complication (P = 0.038) was less in the laparoscopic surgery group than in the open surgery group. In conclusion, considering the operative variables and short-term outcomes, laparoscopic surgery is safe and seems superior to open surgery in elderly patients with rectal cancer. However, further studies with more patients are needed to confirm the results and assess long-term results.},
 year = {2016}
}

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