Yu Sato, MD, PhD, FASCRS, Takashi Oshiro, Tomoaki Kitahara, Yutaka Yoshida, Tasuku Urita, Ryuichi Takagi, Kentaro Kawamitsu, Kengo Kadoya, Taiki Nabekura, Mika Ando, Shin-ichi Okazumi. Toho University Sakura Medical Center
Objective: An increasing number of laparoscopic surgery are being performed on more elderly patients. The aim of this study was to evaluate the outcomes of laparoscopic resection for colorectal cancer in the very elderly patients.
Methods: A retrospective analysis of 28 consecutive patients aged ≥85 years who underwent curative laparoscopic resection for colorectal cancer between January 2009 and February 2017 was collected. Short-term and oncological outcomes were investigated.
Results: The analyzed group included 15 males and 13 females with a mean age of 86.5 (range, 85-94) years. The majority had right-sided tumors and multiple comorbidities [18(64.3%) and 17(60.7%), respectively]. Twenty-two patients (78.6%) were diagnosed as over stage II cancers, but 7 patients (25.0%) underwent D3 lymphadenectomy. The mean number of harvested lymph nodes was 15 (range, 1-41). Nine patients (32.1%) developed postoperative complications with delirium (21.4%) as the most frequently observed complaint. Adjuvant chemotherapy was applied for only one patients (3.6%). With a median follow-up time of 17.8 months, the recurrences occurred in 5 patients (17.9%), and 3 of them chose best supportive care.
Conclusions: Laparoscopic colorectal resection with modified lymphadenectomy for the very elderly patients is feasible. However, more active adjuvant therapy might improve prognosis.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86207
Program Number: P276
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster