PP 10. Evaluation Of Laparoscopy-Assisted Colectomy In Patients Over Eighty Years Old

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Y. Tsuchiya, S. Sekine, K. Tazawa, H. Yamagishi

19:04 - 19:10h at Margrit Room

Categories: Gastrointestinal Surgery, Poster Session

Session: Poster (P1) - Gastrointestinal Surgery

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Background
During these five years, we actively introduced laparoscopy-assisted colectomy (LAC) in elderly patients over eighty years old, and contributed to improve the postoperative course in these patients. On the other hand, the extension of the operative time and the burden on the cardiopulmonary system has been pointed out as a demerit of LAC. In this study, we evaluated the safety and efficacy of LAC in patients over eighty years old.

Material and Methods
During these five years, 193 patients underwent operation for colorectal cancer in our hospital. Among them, we analyzed the post-operative courses in the patients over eighty years old who underwent LAC for colorectal cancer.

Result
An average age of the patients was 83.5 years old, and the ratio of male patients was 25%. All patients were operated on curatively. Complications occurred in 7 patients and almost complications were mild except one case which was acute myocardial infarction. Three patients suffered from pneumonia and they were operated for right-sided colon cancer, and small upper abdominal midline incision (about 5cm) was made for all these patients. All patients with cardiovascular complication had been treated with anticoagulant or antiplatelet drugs and their operative time tended to be long. All patients were able to recover original state and survive without recurrence or metastasis.

Conclusion
It is suggested that LAC is relatively safe in elderly patients. However we should be careful about pneumonia for patients with upper abdominal midline incision, and about cardiovascular complication for patients treated with anticoagulant or antiplatelet drugs.