• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Laparoscopic Versus Open Surgery for Colorectal Cancer in Elderly Patients: Does History of Abdominal Surgery Influence the Surgical Outcome?

Seiichiro Yamamoto, MD, PhD1, Takao Hinoi, MD, PhD2, Hiroaki Niitsu, MD1, Minoru Hattori2, Ichio Suzuka, MD3, Yosuke Fukunaga4, Takashi Yamaguchi, MD5, Masazumi Okajima, MD, PhD6, Hideki Ohdan1, Masahiko Watanabe, MD, PhD7. 1Hiratsuka City Hospital, 2Hiroshima University, 3Kagawa Prefectural Center Hospital, 4Cancer Institute Hospital, 5Kyoto Medical Hospital, 6Hiroshima City Hiroshima Citizens Hospital, 7Kitasato University School of Medicine

Introduction: Several reports suggested that the laparoscopic surgery (LS) is not inferior to the open surgery (OS), and that LS can be an acceptable alternative to OS in elderly patients with colon and rectal cancer. However, safety and feasibility of LS in elderly patients with past history of abdominal surgery has not yet been established. To examine the technical and oncological feasibility of LS in elderly patients with past history of abdominal surgery, we conducted a propensity scoring matched case–control study.

Patients and Methods: The present study included data that were collected in the multicenter, case-controlled study entitled “Retrospective study of laparoscopic colorectal surgery for elderly patients”, which aimed to assess the safety and efficacy of laparoscopic colorectal cancer surgery in patients ≥80 years old. Forty-one member hospitals of the Japan Society of Laparoscopic Colorectal Surgery participated in the study, and 2065 elderly patients who underwent LS or OS between January 2003 and December 2007 were enrolled. Of these, we included 587 patients who had history of abdominal surgery, and received curative and elective surgery for stage 0 to III CRC. Of all included patients, 408 patients received OS, and 179 received LS. After matching, 153 patients were included in each cohort. Surgical outcomes were compared between LS and OS. Because the current study is retrospective nature, propensity scores were used to match members of the LS and OS groups. The P-value <0.05 was determined statistically significant.

Results: LS resulted in significantly longer surgical duration (220 minutes vs 170 minutes, p<0.001), but significantly less blood loss (39 vs 100 ml, p<0.001), while there were no significant differences in number of surgical procedure harvested lymph node, and resection margin between the two groups. Postoperative recovery including length of stay (12 vs 14 days, p=0.002), and days to fluid (2 vs 3 days, p<0.001) and solid diet (4 vs 5 days, p<0.001), were significantly faster in the LAP group. Moreover, overall morbidity (43 vs 66 percent, p=0.009) and postoperative ileus (7 vs 19 percent, p=0.023) were significantly less observed in the LAP group while other morbidities were not significant. In the survival analyses, overall survival and disease-free survival were not different between the two groups.

Conclusion: In elderly colon and rectal cancer patients with past history of abdominal surgery, LS can be performed safely, and LS group tended to show lower postoperative morbidity than OS group. 

63

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2016 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons