Single-port laparoscopic colectomy in elderly patients with colon cancer: A propensity score-matched comparison with younger patients.
colon cancer
elderly patients
single-port laparoscopic colectomy
Journal
Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
01
04
2019
revised:
26
04
2019
accepted:
06
05
2019
pubmed:
30
6
2019
medline:
13
1
2021
entrez:
29
6
2019
Statut:
ppublish
Résumé
This study aims to evaluate the safety and feasibility of single-port laparoscopic colectomy (SPLC) in elderly patients with colon cancer. During the study period, 344 patients underwent SPLC in our hospital. Among them, 87 patients were aged 80 years and older, and 257 patients were younger than 80 years. After 1:1 propensity-score matching, 87 elderly patients were compared with 87 young patients. Short-term clinical outcomes after SPLC were equivalent between the two groups, although the elderly group had a higher ASA score and more postoperative complications. The 5-year overall survival rates were 64.6% in the elderly group and 66.8% in control group. The 5-year cancer-specific survival rates were 78.0% in the elderly group and 70.9% in control group. There were no significant differences between the groups. Our results indicated that SPLC is technically feasible for operative teams that have adequately standardized the procedure, and it is oncologically safe in elderly patients with colon cancer.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
175-179Informations de copyright
© 2019 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.
Références
Ministry of Health, Labour and Welfare of Japan. Abridged life table for fiscal 2017 [in Japanese]. 2018. https://www.mhlw.go.jp/toukei/saikin/hw/life/life17/dl/life17-15.pdf. Accessed April 25, 2019.
Deijen CL, Vasmel JE, de Lange-de Klerk ESM, et al. Ten-year outcomes of a randomized trial of laparoscopic versus open surgery for colon cancer. Surg Endosc. 2017;31(6):2607-2615.
Otsuka K, Kimura T, Hakozaki M, et al. Comparative benefits of laparoscopic surgery for colorectal cancer in octogenarians: a case-matched comparison of short- and long-term outcomes with middle-aged patients. Surg Today. 2017;47(5):587-594.
Hirano Y, Hattori M, Douden K, Hiranuma C, Hashizume Y, Taniguchi K. Single-port laparoscopic colectomy for colon cancer: experiences with 308 consecutive cases. Am Surg. 2018;84(4):565-569.
Hirano Y, Hattori M, Sato Y, Maeda K, Douden K, Hashizume Y. The outcome of single-incision laparoscopic right colectomy for colon carcinoma in the elderly. Surg Laparosc Endosc Percutan Tech. 2012;22(4):338-340.
Tei M, Otsuka M, Suzuki Y, Kishi K, Tanemura M, Akamatsu H. Safety and feasibility of single-port surgery for colon cancer in octogenarians. Anticancer Res. 2018;38(3):2967-2972.
Hiraki M, Takemasa I, Uemura M, et al. Evaluation of invasiveness in single-site laparoscopic colectomy, using "the Pain Vision™ system" for quantitative analysis of pain sensation. Surg Endosc. 2014;28(11):3216-3223.
Ishii Y, Yahagi M, Ochiai H, et al. Short-term and midterm outcomes of single-incision laparoscopic surgery for right-sided colon cancer. Asian J Endosc Surg. 2018. https://doi.org/10.1111/ases.12654.
Poon JT, Cheung CW, Fan JK, Lo OS, Law WL. Single-incision versus conventional laparoscopic colectomy for colonic neoplasm: a randomized, controlled trial. Surg Endosc. 2012;26(10):2729-2734.
Takemasa I, Uemura M, Nishimura J, et al. Feasibility of single-site laparoscopic colectomy with complete mesocolic excision for colon cancer: a prospective case-control comparison. Surg Endosc. 2014;28(4):1110-1118.
Nishizawa Y, Hata T, Takemasa I, et al. Clinical benefits of single-incision laparoscopic surgery for postoperative delirium in elderly colon cancer patients. Surg Endosc. 2018;32(3):1434-1440.