Influence of previous abdominal surgery on surgical outcomes between laparoscopic and open surgery in elderly patients with colorectal cancer: subanalysis of a large multicenter study in Japan

2016 ◽  
Vol 52 (6) ◽  
pp. 695-704 ◽  
Author(s):  
Seiichiro Yamamoto ◽  
◽  
Takao Hinoi ◽  
Hiroaki Niitsu ◽  
Masazumi Okajima ◽  
...  
2017 ◽  
Vol 31 (10) ◽  
pp. 3890-3897 ◽  
Author(s):  
Atsushi Ishibe ◽  
Mitsuyoshi Ota ◽  
Shoichi Fujii ◽  
Yusuke Suwa ◽  
Shinsuke Suzuki ◽  
...  

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sicheng Zhou ◽  
Xuewei Wang ◽  
Chuanduo Zhao ◽  
Qian Liu ◽  
Haitao Zhou ◽  
...  

Abstract Background Colorectal cancer is common in elderly patients. Laparoscopy is widely used to approach this kind of disease. This study was to examine short-term outcomes and long-term survival for laparoscopic and open surgery in elderly patients with colorectal cancer. Methods From January 2007 to December 2018, patients with colorectal cancer older than 80 operated at China National Cancer Center were included in the study. Propensity score matching (PSM) was used to minimize the adverse effects. The clinical data between open and laparoscopic surgery was compared, and the effect of factors on overall survival (OS) and disease-free survival (DFS) was analyzed by Cox proportional hazard model. Results Ninety-three pairs were selected after PSM. Patients in laparoscopic group had less intraoperative blood loss, postoperative complications, time to first flatus, time to oral feeding, postoperative hospital stay, and higher retrieved lymph node (P < 0.05). The OS and DFS rates were similar (P > 0.05), besides the CEA level, III/IV stage, and perineural invasion were independent predictors of survival (P < 0.05). Conclusion In elderly patients with colorectal cancer, laparoscopic surgery had better short-term outcomes than open surgery. CEA level, III/IV stage, and perineural invasion were reliable predictors for OS and DFS.


2003 ◽  
Vol 114 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Justin B Dimick ◽  
John A Cowan ◽  
Gilbert R Upchurch ◽  
Lisa M Colletti

2020 ◽  
Vol 46 (9) ◽  
pp. 1649-1655
Author(s):  
Meike J. van Harten ◽  
Emma B. Greenwood ◽  
Sergei Bedrikovetski ◽  
Nagendra N. Dudi-Venkata ◽  
Ronald A. Hunter ◽  
...  

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