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LAPAROSCOPIC SURGERY FOR COLORECTAL CANCER PATIENTS WITH A POOR PERFORMANCE STATUS

Rikiya Sato, Masaki Kitazono, Naotaka Ikeda, Mayumi Kanmura, Tomohiro Oyama, Tatsuji Katsue, Go Kamimura, Ryoichi Toyosaki, Toyokuni Suenaga. Nanpuh Hospital

Introduction: As the proportion of elderly people increases, the number of patients with a poor performance status (PS) because of previous illnesses is likely to continue to increase. The aim of this study is to compare short-term and long-term outcomes of laparoscopic surgery (LS) to open surgery (OS) for those patients with colorectal cancer.

Materials and Methods: In this study, patients with ECOG performance status of 3 or greater were defined as poor PS patients. This was a retrospective study of poor PS patients with colorectal cancer who underwent either laparoscopic or open surgery from January 2006 to September 2017 in our hospital. Data on baseline characteristics, intraoperative findings, short-term outcomes, and long-term outcomes were analyzed statistically.

Results: During the study period, 16 and 23 consecutive poor PS patients underwent open and laparoscopic surgery for colorectal cancer, respectively. In LS group, 19 procedures (82.7%) were technically successful without the need for conversion to open surgery. There were no significant differences between two groups with regard of the baseline characteristics. LS group was associated with less cumulative blood loss (185 vs. 20 mL; p < 0.001), and intraoperative blood transfusion (44.0 vs. 8.7%; p = 0.018). Although there were no differences in 30-day mortality and morbidity, the rate of major complications (Clavien-Dindo grade ≥ III) was significantly lower in LS group (31.2 vs. 4.3%; p = 0.033). There were no differences in long-term outcomes between two groups.

Conclusion: Laparoscopic surgery was beneficial approach for poor performance status patients with colorectal cancer.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 86622

Program Number: P241

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

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