Laparoscopic colectomy in the elderly: when is too old?
- PMID: 20011451
- PMCID: PMC2789496
- DOI: 10.1055/s-2006-939529
Laparoscopic colectomy in the elderly: when is too old?
Abstract
To date, there is little literature regarding the impact of laparoscopic colectomy in the elderly population (i.e., patients older than 70 years) as the vast majority of studies regarding laparoscopic colectomy have evaluated younger patients (younger than 65 years). It is unknown whether elderly patients garner the same benefits from laparoscopic colectomy that younger patients have been shown to receive. As a result, there may be a reluctance to offer laparoscopy to elderly patients. The majority of the reports suggest that laparoscopic colectomy in the elderly is safe and provides the same benefits as laparoscopic colectomy in a younger population. Although an elderly population does not return to the work force, the benefits in the elderly population are related to a return to independence more often than after conventional surgery without an increase in hospital costs. Based on the current literature, one may never be too old to have a laparoscopic colectomy.
Keywords: Laparoscopy; age; elderly; physiology.
Similar articles
-
Optimizing cost and short-term outcomes for elderly patients in laparoscopic colonic surgery.Surg Endosc. 2013 Dec;27(12):4463-8. doi: 10.1007/s00464-013-3088-z. Epub 2013 Jul 23. Surg Endosc. 2013. PMID: 23877762
-
Early outcomes of colon laparoscopic resection in the elderly patients compared with the younger.BMC Surg. 2012;12 Suppl 1(Suppl 1):S8. doi: 10.1186/1471-2482-12-S1-S8. Epub 2012 Nov 15. BMC Surg. 2012. PMID: 23173882 Free PMC article.
-
Safety and advantages of laparoscopic vs. open colectomy in the elderly: matched-control study.Dis Colon Rectum. 2000 Mar;43(3):326-32. doi: 10.1007/BF02258297. Dis Colon Rectum. 2000. PMID: 10733113 Clinical Trial.
-
Laparoscopic-assisted bowel resections in inflammatory bowel disease: state of the art.Neth J Med. 1998 Dec;53(6):S39-46. doi: 10.1016/s0300-2977(98)00122-3. Neth J Med. 1998. PMID: 9883013 Review.
-
Is robot-assisted laparoscopic right colectomy more effective than the conventional laparoscopic procedure? A meta-analysis of short-term outcomes.Int J Surg. 2015 Jun;18:75-82. doi: 10.1016/j.ijsu.2015.04.044. Epub 2015 Apr 20. Int J Surg. 2015. PMID: 25907328
Cited by
-
Optimizing cost and short-term outcomes for elderly patients in laparoscopic colonic surgery.Surg Endosc. 2013 Dec;27(12):4463-8. doi: 10.1007/s00464-013-3088-z. Epub 2013 Jul 23. Surg Endosc. 2013. PMID: 23877762
-
Laparoscopic versus open colectomy for colon cancer in an older population: a cohort study.World J Surg Oncol. 2012 Feb 7;10:31. doi: 10.1186/1477-7819-10-31. World J Surg Oncol. 2012. PMID: 22313593 Free PMC article.
-
Operative and Survival Outcomes of Robotic-Assisted Surgery for Colorectal Cancer in Elderly and Very Elderly Patients: A Study in a Tertiary Hospital in South Korea.J Oncol. 2022 Jan 30;2022:7043380. doi: 10.1155/2022/7043380. eCollection 2022. J Oncol. 2022. PMID: 35140787 Free PMC article.
-
Propensity matched analysis of minimally invasive and open radical resection for rectal cancer: comparison of short-term outcomes in elderly/frail patients.J Robot Surg. 2024 Mar 11;18(1):117. doi: 10.1007/s11701-024-01883-0. J Robot Surg. 2024. PMID: 38466495
-
Incidence of minimally invasive colorectal cancer surgery at National Comprehensive Cancer Network centers.J Natl Cancer Inst. 2014 Dec 19;107(1):362. doi: 10.1093/jnci/dju362. Print 2015 Jan. J Natl Cancer Inst. 2014. PMID: 25527640 Free PMC article.
References
-
- Spivak H, Vande Maele D, Friedman I, et al. Colorectal surgery in octogenarians. J Am Coll Surg. 1996;183:46–50. - PubMed
-
- Chen H H, Wexner S D, Weiss E G, et al. Laparoscopic colectomy for benign colorectal disease is associated with a significant reduction in disability as compared with laparotomy. Surg Endosc. 1998;12:1397–1400. - PubMed
-
- Marcello P W, Milsom J W, Wong S K, et al. Laparoscopic total colectomy for acute colitis: a case-control study. Dis Colon Rectum. 2001;44:1441–1445. - PubMed
-
- Milsom J W, Hammerhofer K A, Bohm B, et al. Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn’s disease. Dis Colon Rectum. 2001;44:1–9. - PubMed
-
- Schwenk W, Bohm B, Muller J M. Postoperative pain and fatigue after laparoscopic or conventional colorectal resections. Surg Endosc. 1998;12:1131–1136. - PubMed
LinkOut - more resources
Full Text Sources
Research Materials