Influence of old age on the postoperative outcomes of obstructive colorectal cancer surgery after the insertion of a stent
- Author(s)
- Chan Hee Park; Seong Kyu Baek; Ok Suk Bae; Woon Kyung Jeong
- Alternative Author(s)
- Bae, Ok Suk; Baek, Seong Kyu; Jeong, Woon Kyung
- Department
- Dept. of Surgery (외과학)
- Journal Title
- Annals of Surgical Treatment and Research
- Issued Date
- 2015
- Volume
- 89
- Number
- 4
- Keyword
- Colorectal neoplasms; Stents; Intestinal obstruction; Aged
- Abstract
- Purpose: In some patients more than 70 years of age with obstructive colorectal cancer, their concerns about the
postoperative complications lead them to refuse surgery after the insertion of a stent. This study aimed to compare the
postoperative outcomes between obstructive colorectal cancer patients aged less than 70 years and those aged 70 years
and more who underwent surgery after the insertion of a colonoscopic stent.
Methods: Patients with obstructive colorectal cancer who underwent surgery after the insertion of a colonoscopic stent
between March 2004 and March 2014 were reviewed retrospectively by using medical records. The patients were divided
into two groups: 22 patients were aged less than 70 years (group A) and 30 patients were aged more than 70 years (group B).
Results: Although no significant difference in comorbidity was noted between the two groups, the American Society of
Anesthesiologists (ASA) score was higher in group B. There was no significant difference in cancer location, stage, or the
time from the insertion of the stent to operation. The perioperative results including operation time, blood loss, and length
of stay were not significantly different between the groups. The postoperative complications were also not significantly
different.
Conclusion: The surgical outcomes of elderly patients were similar to those of younger patients, despite higher ASA
scores. These results indicate that surgery can be performed safely in elderly patients with obstructive colorectal cancer
after the insertion of a stent.
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