A comparative analysis in laparoscopic surgery in young vs. old patients with colorectal cancer
EAES Academy. Broasca T. 07/05/22; 362999; P042
Tudor-Calin Broasca
Contributions
Contributions
Abstract
Background:
The laparoscopic technique in patients with colorectal cancer tends to overtake the classical open approach, even though in locally advanced tumors this issue is still in debate. The aim of this study is to determine if there is any difference in mortality rates, benefits, postoperative complications as well as long-term survival between the group of young and elderly patients.
Methods:
We have collected data from patients <40 years old and >40 years old that underwent elective laparoscopic surgery for colorectal cancer, between 2016-2021 at the department of general surgery in Cluj—Napoca. The characteristics of the population, tumor, and surgical aspects were retrospectively analyzed for short-term and long-term results.
Results:
The results showed us that in the group of elderly patients there seems to be a significantly higher rate of surgical conversion as well as postoperative mortality. Local and distant recurrence did not differ between the two groups. There has not been found any difference in terms of tumor aspects, surgery duration. Younger patients seem to have been used adjuvant chemotherapy more frequently than older patients. Overall survival seems to be lower in the group of elderly patients compared to the young ones.
Conclusion:
Minimally invasive surgery seems to be a strong option in the treatment of colorectal cancer in both young and old patients even though there is a significantly higher rate of conversion and postoperative mortality in the elderly group, which may influence the long-term outcomes.
The laparoscopic technique in patients with colorectal cancer tends to overtake the classical open approach, even though in locally advanced tumors this issue is still in debate. The aim of this study is to determine if there is any difference in mortality rates, benefits, postoperative complications as well as long-term survival between the group of young and elderly patients.
Methods:
We have collected data from patients <40 years old and >40 years old that underwent elective laparoscopic surgery for colorectal cancer, between 2016-2021 at the department of general surgery in Cluj—Napoca. The characteristics of the population, tumor, and surgical aspects were retrospectively analyzed for short-term and long-term results.
Results:
The results showed us that in the group of elderly patients there seems to be a significantly higher rate of surgical conversion as well as postoperative mortality. Local and distant recurrence did not differ between the two groups. There has not been found any difference in terms of tumor aspects, surgery duration. Younger patients seem to have been used adjuvant chemotherapy more frequently than older patients. Overall survival seems to be lower in the group of elderly patients compared to the young ones.
Conclusion:
Minimally invasive surgery seems to be a strong option in the treatment of colorectal cancer in both young and old patients even though there is a significantly higher rate of conversion and postoperative mortality in the elderly group, which may influence the long-term outcomes.
Background:
The laparoscopic technique in patients with colorectal cancer tends to overtake the classical open approach, even though in locally advanced tumors this issue is still in debate. The aim of this study is to determine if there is any difference in mortality rates, benefits, postoperative complications as well as long-term survival between the group of young and elderly patients.
Methods:
We have collected data from patients <40 years old and >40 years old that underwent elective laparoscopic surgery for colorectal cancer, between 2016-2021 at the department of general surgery in Cluj—Napoca. The characteristics of the population, tumor, and surgical aspects were retrospectively analyzed for short-term and long-term results.
Results:
The results showed us that in the group of elderly patients there seems to be a significantly higher rate of surgical conversion as well as postoperative mortality. Local and distant recurrence did not differ between the two groups. There has not been found any difference in terms of tumor aspects, surgery duration. Younger patients seem to have been used adjuvant chemotherapy more frequently than older patients. Overall survival seems to be lower in the group of elderly patients compared to the young ones.
Conclusion:
Minimally invasive surgery seems to be a strong option in the treatment of colorectal cancer in both young and old patients even though there is a significantly higher rate of conversion and postoperative mortality in the elderly group, which may influence the long-term outcomes.
The laparoscopic technique in patients with colorectal cancer tends to overtake the classical open approach, even though in locally advanced tumors this issue is still in debate. The aim of this study is to determine if there is any difference in mortality rates, benefits, postoperative complications as well as long-term survival between the group of young and elderly patients.
Methods:
We have collected data from patients <40 years old and >40 years old that underwent elective laparoscopic surgery for colorectal cancer, between 2016-2021 at the department of general surgery in Cluj—Napoca. The characteristics of the population, tumor, and surgical aspects were retrospectively analyzed for short-term and long-term results.
Results:
The results showed us that in the group of elderly patients there seems to be a significantly higher rate of surgical conversion as well as postoperative mortality. Local and distant recurrence did not differ between the two groups. There has not been found any difference in terms of tumor aspects, surgery duration. Younger patients seem to have been used adjuvant chemotherapy more frequently than older patients. Overall survival seems to be lower in the group of elderly patients compared to the young ones.
Conclusion:
Minimally invasive surgery seems to be a strong option in the treatment of colorectal cancer in both young and old patients even though there is a significantly higher rate of conversion and postoperative mortality in the elderly group, which may influence the long-term outcomes.
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