Age Over 80 is a Possible Risk Factor for Postoperative Morbidity After a Laparoscopic Resection of Colorectal Cancer

강태현; 김형욱; 김흥대; 전호경; 한원곤; 정경욱

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자료유형: 학술저널

저자정보: 강태현 (성균관대학교) 김형욱 (성균관대학교) 김흥대 (성균관대학교) 전호경 (성균관대학교) 한원곤 (성균관대학교) 정경욱 (성균관대학교)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.31 No.6

발행연도: 2015.1

수록면: 228 - 234 (7page)

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Purpose: With extended life expectancy, the mean age of patients at the time of diagnosis of colorectal cancer and its treatment, including radical resection, is increasing gradually. We aimed to evaluate the impact of age on postoperative clinical outcomes after a laparoscopic resection of colorectal cancers. Methods: This is a retrospective review of prospectively collected data. Patients with primary colorectal malignancies or premalignant lesions who underwent laparoscopic colectomies between January 2009 and April 2013 were identified. Patients were divided into 6 groups by age using 70, 75, and 80 years as cutoffs: younger than 70, 70 or older, younger than 75, 75 or older, younger than 80, and 80 or older. Demographics, pathological parameters, and postoperative clinical outcomes, including postoperative morbidity, were compared between the younger and the older age groups. Results: All 578 patients underwent a laparoscopic colorectal resection. The overall postoperative complication rate was 21.1% (n = 122). There were 4 cases of operative mortality (0.7%). Postoperative complication rates were consistently higher in the older groups at all three cutoffs; however, only the comparison with a cutoff at 80 years showed a statistically significant difference between the younger and the older groups. Conclusion: Age over 80 is a possible risk factor for postoperative morbidity after a laparoscopic resection of colorectal cancer.

참고문헌 (22)

참고문헌 신청

정규원 / 2015 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2012 / Cancer Research and Treatment 47(2):127~141

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Weber DM / 2003 / Laparoscopic surgery : an excellent approach in elderly patients / Arch Surg 138:1083~1088

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