Colorectal Cancer in the Elderly by Kok-Yang Tan

Author:Kok-Yang Tan
Language: eng
Format: epub
Publisher: Springer Berlin Heidelberg, Berlin, Heidelberg

10.6.2 Comparison with Younger Patients

There are several studies in which laparoscopic colectomy were compared between elderly and younger patients. In our own study reported by Tan et al., 91 laparoscopic colorectal cancer surgery patients who were 75 years or older were compared with 379 laparoscopic colorectal cancer surgery patients under 70 years of age. There was no difference in the occurrence of postoperative complications between the two groups. Multivariate analysis revealed that patient’s age was not an independent risk factor of major complications. There were 4 deaths within 30 postoperative day. Although bivariate analysis revealed that older age was a significant risk factor for mortality, multivariate analysis showed that Charlson comorbidity index and operation time but not age were independent risk factors for mortality, and we concluded that laparoscopic colorectal surgery should not be denied based on age alone (Tan et al. 2010) (Tables 10.1 and 10.2). Other studies also showed no significant differences in postoperative morbidity between elderly and younger patients (Senagore et al. 2003; Sklow et al. 2003; Person et al. 2008).Table 10.1Multivariate analysis for risk factors for major complications

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