Rectal Cancer Surgery in Patients Older Than 80 Years: Is Hartmann's Procedure Safe?
Hartmann's procedure
anastomosis
anterior resection
elderly
rectal cancer
Journal
In vivo (Athens, Greece)
ISSN: 1791-7549
Titre abrégé: In Vivo
Pays: Greece
ID NLM: 8806809
Informations de publication
Date de publication:
Historique:
received:
08
09
2020
revised:
23
09
2020
accepted:
24
09
2020
entrez:
4
11
2020
pubmed:
5
11
2020
medline:
22
6
2021
Statut:
ppublish
Résumé
The current study aimed to identify the safety and efficacy of Hartmann's procedure (HP) among elderly patients (age ≥80 years) with rectal cancer. Data on surgical outcome, survival rate, and incidence of stoma reversal were retrospectively compared between patients aged over 80 years who underwent anterior resection (AR) and HP. In total, 79 elderly patients underwent rectal cancer surgery. Of these patients, 54 (68.4%) underwent AR and 25 (31.6%) HP. The two groups did not differ significantly in terms of age, nutrient status, and tumor characteristics. Eight (14.8%) patients who underwent AR and six (24.0%) who underwent HP presented with intra-abdominal complications (p=0.35). The overall survival and recurrent-free survival rates between the two groups did not differ. HP for elderly patients with rectal cancer has similar complication rates to AR, and achieved similar oncological outcomes.
Sections du résumé
BACKGROUND/AIM
OBJECTIVE
The current study aimed to identify the safety and efficacy of Hartmann's procedure (HP) among elderly patients (age ≥80 years) with rectal cancer.
PATIENTS AND METHODS
METHODS
Data on surgical outcome, survival rate, and incidence of stoma reversal were retrospectively compared between patients aged over 80 years who underwent anterior resection (AR) and HP.
RESULTS
RESULTS
In total, 79 elderly patients underwent rectal cancer surgery. Of these patients, 54 (68.4%) underwent AR and 25 (31.6%) HP. The two groups did not differ significantly in terms of age, nutrient status, and tumor characteristics. Eight (14.8%) patients who underwent AR and six (24.0%) who underwent HP presented with intra-abdominal complications (p=0.35). The overall survival and recurrent-free survival rates between the two groups did not differ.
CONCLUSION
CONCLUSIONS
HP for elderly patients with rectal cancer has similar complication rates to AR, and achieved similar oncological outcomes.
Identifiants
pubmed: 33144482
pii: 34/6/3661
doi: 10.21873/invivo.12213
pmc: PMC7811640
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3661-3667Informations de copyright
Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
Références
Histopathology. 2020 Jan;76(2):182-188
pubmed: 31433515
Br J Surg. 2007 Oct;94(10):1285-92
pubmed: 17661309
Int J Colorectal Dis. 2017 Nov;32(11):1583-1589
pubmed: 28801697
Int J Colorectal Dis. 2011 Apr;26(4):431-6
pubmed: 21221605
Int J Colorectal Dis. 2008 Jul;23(7):703-7
pubmed: 18379795
BMC Cancer. 2009 Feb 26;9:68
pubmed: 19245701
Int J Colorectal Dis. 2007 Aug;22(8):919-27
pubmed: 17260142
Dis Colon Rectum. 2005 Feb;48(2):251-5
pubmed: 15714249
N Engl J Med. 2001 Aug 30;345(9):638-46
pubmed: 11547717
Eur J Surg Oncol. 2018 Nov;44(11):1685-1702
pubmed: 30150158
BMC Surg. 2016 Jul 11;16(1):43
pubmed: 27401339
Int J Cancer. 2015 Mar 1;136(5):E359-86
pubmed: 25220842
Int J Colorectal Dis. 2016 Feb;31(2):189-95
pubmed: 26607905
Int J Colorectal Dis. 2016 Jan;31(1):87-93
pubmed: 26298183
World J Surg. 2001 Mar;25(3):274-7; discussion 277-8
pubmed: 11343175
Ann Surg. 1999 Oct;230(4):544-52; discussion 552-4
pubmed: 10522724
Surg Today. 2019 Feb;49(2):108-117
pubmed: 30151626
World J Surg Oncol. 2014 Nov 23;12:355
pubmed: 25418609
Br J Surg. 2016 Jan;103(2):e106-14
pubmed: 26662377
Ann Surg. 2004 Aug;240(2):205-13
pubmed: 15273542
Int J Colorectal Dis. 2015 Feb;30(2):181-6
pubmed: 25421100
Tech Coloproctol. 2013 Feb;17 Suppl 1:S41-5
pubmed: 23292110
BJS Open. 2018 Oct 15;3(1):106-111
pubmed: 30734021