Colorectal surgery in elderly population

Author:

Zawadzki Marek1,Krzystek-Korpacka Małgorzata2,Rząca Marek3,Czarnecki Roman3,Obuszko Zbigniew4,Witkiewicz Wojciech5

Affiliation:

1. Wojewódzki Szpital Specjalistyczne we Wrocławiu Oddział Chirurgii Onkologicznej

2. Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu Wydział Lekarski Katedra i Zakład Biochemii Lekarskiej

3. Wojewódzki Szpital Specjalistyczny we Wrocławiu Oddział Chirurgii Onkologicznej

4. Wojewódzki Szpital Specjalistyczne we Wrocałwiu Oddział Chirurgii Onkologicznej

5. Wojewódzki Szpital Specjalistyczny we Wrocławiu Ośrodek Badawczo-Rozwojowy Oddział Chirurgii Onkologicznej

Abstract

Introduction: With the rising number of elderly patients and increasing incidence of colorectal cancer, management of geriatric patients has become the forefront of colorectal surgery. Objectives: This study aimed to investigate the short-term surgical outcomes following colorectal resection in elderly patients. Materials and methods: A total of 464 patients who underwent surgical resection for colorectal tumor between 2013 and 2017 were included. The patients were divided into elderly (≥75 years) and young (<75 years) group. The clinicopathological data of the patients were reviewed retrospectively. Results: The elderly group constituted 30% of study population. More patients in elderly group underwent Hartmann procedure (p=0.02) and right hemicolectomy (p=0.029), and younger patients more often received low anterior resection (p=0.027). The surgical procedure took a shorter time in elderly group (p<0.01) but they stayed in the hospital one day longer (p=0.023). Postoperative complications and mortality tended to be higher in seniors (p=0.088). The younger patients showed a tendency towards a higher rate of distant metastases (p=0.053). Seniors received fewer preoperative chemoradiation than the young group (p=0.014). Conclusion: Older persons constitute one-third of patients treated electively in colorectal departments. Colorectal surgery in geriatric patients is associated with a prolonged hospital stay and a higher potential for complications and mortality.

Publisher

Index Copernicus

Subject

General Medicine,Surgery

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