Minimizing the impact of colorectal surgery in the older patient: The role of minimally invasive surgery in the geriatric population

被引：13
作者：
Kolarsick, Paul A. [1 ]
Sacchi, Matteo [2 ]
Spinelli, Antonino [2 ]
Wexner, Steven D. [1 ]
机构：
[1] Cleveland Clin Florida, Dept Colorectal Surg, 2950 Cleveland Clin Blvd, Weston, FL 33331 USA
[2] Humanitas Univ, Humanitas Res Hosp, Colon & Rectal Surg, Milan, Italy
来源：
EJSO | 2020年 / 46卷 / 03期
关键词：
Colorectal cancer; Senior; Geriatric; Minimally invasive surgery; Laparoscopy; LAPAROSCOPIC-ASSISTED RESECTION; SHORT-TERM OUTCOMES; RECTAL-CANCER; PATHOLOGICAL OUTCOMES; ELDERLY-PATIENTS; SURGICAL OUTCOMES; ENHANCED RECOVERY; OPEN COLECTOMY; UNITED-STATES; COLON-CANCER;
D O I：
10.1016/j.ejso.2019.12.019
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
With an aging population comes a greater incidence of colorectal cancer and a corresponding need for surgical resection in the geriatric population. This heterogeneous group of patients may benefit from multidisciplinary pre-operative evaluation and optimization, prehabilitation, enhanced recovery protocols, and a minimally invasive approach to resection. Concerns regarding the ability of the older patient to tolerate the physiologic demands of pneumoperitoneum have not been validated. Conversely, these vulnerable patients may experience a greater reduction in morbidity than their younger counterparts through the use of minimally invasive techniques. (C) 2019 Published by Elsevier Ltd.
引用
收藏
页码：333 / 337
页数：5
相关论文
共 72 条
[1]   St.Gallen consensus on safe implementation of transanal total mesorectal excision [J].
Adamina, Michel ;
Buchs, Nicolas C. ;
Penna, Marta ;
Hompes, Roel .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2018, 32 (03) :1091-1103
[2]   Australasian Laparoscopic Colon Cancer Study shows that elderly patients may benefit from lower postoperative complication rates following laparoscopic versus open resection [J].
Allardyce, R. A. ;
Bagshaw, P. F. ;
Frampton, C. M. ;
Frizelle, F. A. ;
Hewett, P. J. ;
Rieger, N. A. ;
Smith, J. S. ;
Solomon, M. J. ;
Stevenson, A. R. L. .
BRITISH JOURNAL OF SURGERY, 2010, 97 (01) :86-91
[3]  
Anania G, 2012, G CHIR, V33, P352
[4]   Laparoscopic colorectal surgery confers lower mortality in the elderly: a systematic review and meta-analysis of 66,483 patients [J].
Antoniou, Stavros Athanasios ;
Antoniou, George Athanasios ;
Koch, Oliver Owen ;
Pointner, Rudolph ;
Granderath, Frank-Alexander .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (02) :322-333
[5]   Comparison of long-term oncologic outcomes of stage III colorectal cancer following laparoscopic versus open surgery [J].
Baek, Jeong-Heum ;
Lee, Gil-Jae ;
Lee, Won-Suk .
ANNALS OF SURGICAL TREATMENT AND RESEARCH, 2015, 88 (01) :8-14
[6]  
Bates AT, 2015, AGING DIS, V6, P149, DOI 10.14336/AD.2014.0429
[7]   Outcomes of laparoscopic surgery for pT3/pT4 colorectal cancer in young vs. old patients [J].
Bellio, Gabriele ;
Troian, Marina ;
Pasquali, Arianna ;
de Manzini, Nicolo .
MINERVA CHIRURGICA, 2019, 74 (04) :297-303
[8]   Use and outcomes of laparoscopic-assisted colectomy for cancer in the United States [J].
Bilimoria, Karl Y. ;
Bentrem, Davidj. ;
Nelson, Heidi ;
Stryker, Steven J. ;
Stewart, Andrew K. ;
Soper, Nathaniel J. ;
Russell, Thomas R. ;
Ko, Clifford Y. .
ARCHIVES OF SURGERY, 2008, 143 (09) :832-839
[9]   Robot-assisted surgery in elderly and very elderly population: our experience in oncologic and general surgery with literature review [J].
Ceccarelli, Graziano ;
Andolfi, Enrico ;
Biancafarina, Alessia ;
Rocca, Aldo ;
Amato, Maurizio ;
Milone, Marco ;
Scricciolo, Marta ;
Frezza, Barbara ;
Miranda, Egidio ;
De Prizio, Marco ;
Fontani, Andrea .
AGING CLINICAL AND EXPERIMENTAL RESEARCH, 2017, 29 :S55-S63
[10]   Barriers to the uptake of laparoscopic surgery in a lower-middle-income country [J].
Choy, Ian ;
Kitto, Simon ;
Adu-Aryee, Nii ;
Okrainec, Allan .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2013, 27 (11) :4009-4015
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