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Review
. 2020 Jun;11(3):540-544.
doi: 10.21037/jgo.2020.02.02.

Minimally invasive surgery in the geriatric patient with colon cancer

Affiliations
Review

Minimally invasive surgery in the geriatric patient with colon cancer

James Chi-Yong Ngu et al. J Gastrointest Oncol. 2020 Jun.

Abstract

As the global population ages, the number of geriatric patients requiring surgery for colon cancer would inevitably increase. Radical oncological surgery in the elderly colorectal cancer patient has been recognized to be associated with a higher rate of postoperative complications and mortality compared to the young. While less aggressive management options may be reasonable in patients with limited life expectancy and significant comorbidities, many elderly patients have preserved function despite their chronological age. The advances in minimally invasive surgery (MIS) now provide a feasible means of achieving safe oncological treatment for these geriatric patients. This review focuses on the evidence behind MIS in the geriatric patient with colon cancer.

Keywords: Laparoscopy (LAP); colorectal; elderly; geriatric.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/10.21037/jgo.2020.02.02). The series “Current Strategies in Colon Cancer Management” was commissioned by the editorial office without any funding or sponsorship. NZT and JCYN served as the unpaid Guest Editors of the series. The other author has no other conflicts of interest to declare.

References

    1. Life expectancy: Situation. Global Health Observatory (GHO) data. Accessed 25 December 2019. Available online: https://www.who.int/gho/mortality_burden_disease/life_tables/situation_t...
    1. Jafari MD, Jafari F, Halabi WJ, et al. Colorectal cancer resections in the aging US population A trend toward decreasing rates and improved outcomes. JAMA Surg 2014;149:557-64. 10.1001/jamasurg.2013.4930 - DOI - PubMed
    1. Kunitake H, Zingmond DS, Ryoo J, et al. Caring for octogenarian and nonagenarian patients with colorectal cancer: what should our standards and expectations be? Dis Colon Rectum 2010;53:735-43. 10.1007/DCR.0b013e3181cdd658 - DOI - PubMed
    1. Fariña-Castro R, Roque-Castellano C, Marchena-Gomez J, et al. Five-year survival after surgery in nonagenarian patients. Geriatr Gerontol Int 2017;17:2389-95. 10.1111/ggi.13081 - DOI - PubMed
    1. Katlic MR. Surgery in centenarians. JAMA 1985;253:3139-41. 10.1001/jama.1985.03350450111033 - DOI - PubMed