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Safety and Effectiveness of Laparoscopic Colorectal Resection in Elderly Patients with Colorectal Cancer: A Propensity Score Matching Study.
Anticancer Research 2017 August
BACKGROUND/AIM: The aim of this study was to evaluate the safety and effectiveness of laparoscopic surgery in elderly patients with colorectal cancer.
PATIENTS AND METHODS: In total, 223 patients aged <75 years and 66 patients aged ≥75 years who underwent laparoscopic colorectal resection were included. Short- and long-term outcomes were compared between the younger and elderly patients after propensity score matching.
RESULTS: Post-operative complications were similar in both groups (younger vs. elderly: 24.7% vs. 19.3%, p=0.479). There were no significant differences in disease-free survival (DFS) (5-year DFS: 96.3% vs. 86.9%, p=0.079) and overall survival (OS) (5-year OS: 92.9% vs. 78.1%, p=0.106) between the two groups.
CONCLUSION: Laparoscopic surgery for colorectal cancer is as safe and effective for elderly patients as for younger patients.
PATIENTS AND METHODS: In total, 223 patients aged <75 years and 66 patients aged ≥75 years who underwent laparoscopic colorectal resection were included. Short- and long-term outcomes were compared between the younger and elderly patients after propensity score matching.
RESULTS: Post-operative complications were similar in both groups (younger vs. elderly: 24.7% vs. 19.3%, p=0.479). There were no significant differences in disease-free survival (DFS) (5-year DFS: 96.3% vs. 86.9%, p=0.079) and overall survival (OS) (5-year OS: 92.9% vs. 78.1%, p=0.106) between the two groups.
CONCLUSION: Laparoscopic surgery for colorectal cancer is as safe and effective for elderly patients as for younger patients.
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