Results of surgical treatment of patients of elderly and senile age with complicated forms of locally advanced colon cancer

The paper analyzes the results of treatment of 74 elderly and senile patients with complicated forms of locally advanced colon cancer. The article demonstrates the prevalence of symptomatic operations due to the severity of the condition advanced oncological process. The use of endovideosurgical technologies in treating patients with complications of locally advanced colon cancer reduces the number of postoperative complications.

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SURGICAL TREATMENT FOR PATIENTS OF ELDERLY AND SENILE AGE WITH LOCALLY ADVANCED COLON CANCER

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2016-175-4-24-31 ◽

2016 ◽

Vol 175 (4) ◽

pp. 24-31

Author(s):

N. A. Maistrenko ◽

A. A. Khvatov ◽

A. A. Sazonov

Keyword(s):

Quality Of Life ◽

Colon Cancer ◽

Surgical Treatment ◽

High Risk ◽

Operative Treatment ◽

Postoperative Period ◽

Locally Advanced ◽

Advanced Colon Cancer ◽

Combined Operations

The article analyzed the results of radical operative treatment of 102 patients aged 35-85 years old. It was shown that combined operations on patients of 60 years old and older were associated with high risk of somatic complications in postoperative period. However, these operations provided more higher rate of survival compared with patients younger than 60 years old and improved the quality of life.

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Concomitant Adjacent Organ Resection in Locally Advanced Colon Cancer

Journal of the Korean Society of Coloproctology ◽

10.3393/jksc.2009.25.2.94 ◽

2009 ◽

Vol 25 (2) ◽

pp. 94 ◽

Cited By ~ 3

Author(s):

Sung Wook Cho ◽

Ryung-Ah Lee ◽

Soon Sup Chung ◽

Kwang Ho Kim

Keyword(s):

Colon Cancer ◽

Locally Advanced ◽

Adjacent Organ ◽

Advanced Colon Cancer

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Differences in effectiveness and use of laparoscopic surgery in locally advanced colon cancer patients

Scientific Reports ◽

10.1038/s41598-021-89554-0 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

M. Schootman ◽

Matthew Mutch ◽

T. Loux ◽

J. M. Eberth ◽

N. O. Davidson

Keyword(s):

Colon Cancer ◽

Length Of Stay ◽

Cancer Patients ◽

Postoperative Ileus ◽

Locally Advanced ◽

Composite Outcome ◽

Improvement Program ◽

Advanced Colon Cancer ◽

Outcome Score ◽

T4 Colon Cancer

AbstractPatients with locally advanced colon cancer have worse outcomes. Guidelines of various organizations are conflicting about the use of laparoscopic colectomy (LC) in locally advanced colon cancer. We determined whether patient outcomes of LC and open colectomy (OC) for locally advanced (T4) colon cancer are comparable in all colon cancer patients, T4a versus T4b patients, obese versus non-obese patients, and tumors located in the ascending, descending, and transverse colon. We used data from the 2013–2015 American College of Surgeons’ National Surgical Quality Improvement Program. Patients were diagnosed with nonmetastatic pT4 colon cancer, with or without obstruction, and underwent LC (n = 563) or OC (n = 807). We used a composite outcome score (mortality, readmission, re-operation, wound infection, bleeding transfusion, and prolonged postoperative ileus); length of stay; and length of operation. Patients undergoing LC exhibited a composite outcome score that was 9.5% lower (95% CI − 15.4; − 3.5) versus those undergoing OC. LC patients experienced a 11.3% reduction in postoperative ileus (95% CI − 16.0; − 6.5) and an average of 2 days shorter length of stay (95% CI − 2.9; − 1.0). Patients undergoing LC were in the operating room an average of 13.5 min longer (95% CI 1.5; 25.6). We found no evidence for treatment heterogeneity across subgroups (p > 0.05). Patients with locally advanced colon cancer who receive LC had better overall outcomes and shorter lengths of stay compared with OC patients. LC was equally effective in obese/nonobese patients, in T4a/T4b patients, and regardless of the location of the tumor.

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