Short-term Outcomes between Laparoscopic and Open Colorectal Cancer Surgery in Elderly Patients by General Surgeons
Colorectal Cancer Surgery in Elderly Patients
Keywords:
laparoscopic surgery, open surgery, colon cancer, rectal cancer, general surgeonAbstract
Colorectal cancer is one of the main malignant tumors threatening human health and common in elderly patients. Laparoscopy is widely used to approach this kind of disease. This study aimed to compare the short- term outcomes of laparoscopic versus open surgery in elderly patients with colorectal cancer by general surgeon team. From August 2017 to October 2019, patients with colorectal cancer older than 60 years old operated at Buddhachinaraj Phitsanulok Hospital were included in this study. The medical records from a total 47 patients who underwent surgery for colorectal cancer were retrospectively analyzed. Median age in the laparoscopic group (n = 17) was 73.0 years, and in the open group (n = 30) was 68 years (p = 0.033). The patients who underwent laparoscopic surgery showed significant advantages compared with those who underwent open surgery, faster postoperative bowel function recovery (p = 0.003), shorter lengths of post- operative hospital stay (p = 0.002). However, laparoscopic surgery resulted in a longer operating time compare with open surgery (p < 0.001). Open surgery resulted in more incisional infections more than laparoscopic surgery (p = 0.014). There were no significant differences between groups for intra-operative complication. In conclusion, laparoscopic colorectal surgery has advantages over open surgery with respect to short-term clinical results in elderly patients.
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