Role of surgery for colorectal cancer in the elderly

被引:54
作者
Biondi, Antonio [1 ]
Vacante, Marco [2 ]
Ambrosino, Immacolata [3 ]
Cristaldi, Erika [2 ]
Pietrapertosa, Giuseppe [3 ]
Basile, Francesco [1 ]
机构
[1] Univ Catania, Vittorio Emanuele Hosp, Dept Surg, Via Plebiscito 628, I-95100 Catania, Italy
[2] Univ Catania, Dept Med & Pediat Sci, I-95100 Catania, Italy
[3] Community Hosp Serv ULSS 20 Verona, I-37122 Verona, Italy
来源
WORLD JOURNAL OF GASTROINTESTINAL SURGERY | 2016年 / 8卷 / 09期
关键词
Laparoscopy; Colorectal cancer; Elderly; Comorbidities; Colorectal surgery;
D O I
10.4240/wjgs.v8.i9.606
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The prevalence of subjects with colorectal cancer is expected to grow in the next future decades and surgery represents the most successful treatment modality for these patients. Anyway, currently elderly subjects undergo less elective surgical procedures than younger patients mainly due to the high rates of postoperative morbidity and mortality. Some authors suggest extensive surgery, including multistage procedures, as carried out in younger patients while others promote less aggressive surgery. In older patients, laparoscopic-assisted colectomy showed a number of advantages compared to conventional open surgery that include lower stress, higher rate of independency after surgery, quicker return to prior activities and a decrease in costs. The recent advances in chemotherapy and the introduction of new surgical procedures such as the endoluminal stenting, suggest the need for a revisitation of surgical practice patterns and the role of palliative surgery, mainly for patients with advanced disease. In this article, we discuss the current role of surgery for elderly patients with colorectal cancer.
引用
收藏
页码:606 / 613
页数:8
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