Surgery for colorectal cancer in elderly: a comparative analysis of risk factor in elective and urgency surgery

被引:9
作者
Boselli, Carlo [1 ]
Cirocchi, Roberto [1 ]
Gemini, Alessandro [1 ]
Grassi, Veronica [1 ]
Avenia, Stefano [2 ]
Polistena, Andrea [2 ]
Sanguinetti, Alessandro [2 ]
Burattini, Maria Federica [1 ]
Pironi, Daniele [3 ]
Santoro, Alberto [3 ]
Tabola, Renata [4 ]
Avenia, Nicola [2 ]
机构
[1] Univ Perugia, Dept Gen & Oncol Surg, I-06134 Perugia, Italy
[2] Univ Perugia, Dept Gen Surg, Terni St Mary Hosp, Via Tristano Joannuccio, I-05100 Terni, Italy
[3] Sapienza Univ Rome, Dept Surg Sci, Viale Regina Elena, I-32400161 Rome, Italy
[4] Med Univ Wroclaw, Dept Gastrointestinal & Gen Surg, Wroclaw, Poland
关键词
Elderly patients; Colorectal cancer; Urgency surgery; Elective surgery; RECURRENT RECTAL-CANCER; MORTALITY; RESECTION; MANAGEMENT; CARE; COMORBIDITY; PATIENT; FRAILTY; IMPACT; AGE;
D O I
10.1007/s40520-016-0642-2
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Introduction Colon cancer therapy is primarily surgical. Advanced age does not represent a contraindication to surgery. We analyse the results of surgery in ultra 75 patients undergoing surgery for colorectal cancer by examining the correlation between the comorbidity and any post-operative complications. Materials and methods We surgically treated 66 patients for colorectal cancer, aged over 75. The examined subjects were compromised for various reasons. We have evaluated the different influences of risk factors in elective and urgency operation. Discussion Several studies have shown that age alone is not a significant prognostic factor in survival after colonic surgery. The assessment of general conditions in elderly patients, as demonstrated by the literature, is a fundamental moment in the management of colorectal cancer. Conclusions The surgical choice should be made case by case (custom-made), not based on age only.
引用
收藏
页码:S65 / S71
页数:7
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