Safety and Effectiveness of Laparoscopic Colorectal Resection in Elderly Patients with Colorectal Cancer: A Propensity Score Matching Study

Anticancer Res. 2017 Aug;37(8):4195-4198. doi: 10.21873/anticanres.11809.

Abstract

Background/aim: The aim of this study was to evaluate the safety and effectiveness of laparoscopic surgery in elderly patients with colorectal cancer.

Patients and methods: In total, 223 patients aged <75 years and 66 patients aged ≥75 years who underwent laparoscopic colorectal resection were included. Short- and long-term outcomes were compared between the younger and elderly patients after propensity score matching.

Results: Post-operative complications were similar in both groups (younger vs. elderly: 24.7% vs. 19.3%, p=0.479). There were no significant differences in disease-free survival (DFS) (5-year DFS: 96.3% vs. 86.9%, p=0.079) and overall survival (OS) (5-year OS: 92.9% vs. 78.1%, p=0.106) between the two groups.

Conclusion: Laparoscopic surgery for colorectal cancer is as safe and effective for elderly patients as for younger patients.

Keywords: Laparoscopic colorectal resection; elderly; long-term outcome; propensity score matching.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Colorectal Neoplasms / complications
  • Colorectal Neoplasms / pathology
  • Colorectal Neoplasms / surgery*
  • Disease-Free Survival
  • Female
  • Humans
  • Laparoscopy*
  • Male
  • Middle Aged
  • Postoperative Complications / pathology*
  • Propensity Score