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. 2017:2017:5893890.
doi: 10.1155/2017/5893890. Epub 2017 Oct 22.

Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases

Marco Milone  1 , Ugo Elmore  2 , Andrea Vignali  2 , Alfredo Mellano  3 , Nicola Gennarelli  1 , Michele Manigrasso  1 , Francesco Milone  1 , Giovanni Domenico De Palma  1 , Andrea Muratore  3 , Riccardo Rosati  2
Affiliations

Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases

Marco Milone et al. Gastroenterol Res Pract. 2017.

Abstract

Aim: To evaluate the impact of open or laparoscopic rectal surgery on pulmonary complications in elderly (>75 years old) patients.

Methods: Data from consecutive patients who underwent elective laparoscopic or open rectal surgery for cancer were collected prospectively from 3 institutions. Pulmonary complications were defined according to the ACS/NSQUIP definition.

Results: A total of 477 patients (laparoscopic group: 242, open group: 235) were included in the analysis. Postoperative pulmonary complications were significantly more common after open surgery (8 out of 242 patients (3.3%) versus 23 out of 235 patients (9.8%); p = 0.005). In addition, PPC occurrence was associated with the increasing of postoperative pain (5.04 ± 1.62 versus 5.03 ± 1.58; p = 0.001) and the increasing of operative time (270.06 ± 51.49 versus 237.37 ± 65.97; p = 0.001).

Conclusion: Our results are encouraging to consider laparoscopic surgery a safety and effective way to treat rectal cancer in elderly patients, highlighting that laparoscopic surgery reduces the occurrence of postoperative pulmonary complications.

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Figures

Figure 1
Figure 1
(a) Postoperative pulmonary complications after laparoscopic surgery and open surgery. (b) Operative time for laparoscopic surgery and open surgery. (c) Pain score after open surgery and laparoscopic surgery.
Figure 2
Figure 2
(a) Pain score in the PPC versus no PPC group. (b) Operative time in the PPC versus no PPC group.
See this image and copyright information in PMC

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