Dr Julien Chautard and colleagues from France conducted a prospective case-matched study to compare outcomes of laparoscopic colorectal surgery in 70 elderly, and 70 younger patients.
The research team found 506 consecutive patients who underwent 536 colorectal resections supervised by 1 colorectal surgeon.
The team matched 75 elderly patients with 103 younger patients according to gender, body mass index, pathology, and surgical procedure.
The team defined postoperative mortality and morbidity as in-hospital deaths and complications.
|Mean hospital stay was comparable between groups|
|Journal of the American College of Surgeons|
The team assessed 178 patients who underwent laparoscopic colorectal resection for colorectal carcinoma or benign diseases.
Laparoscopic surgical procedures included left colectomy, rectal resection, right colectomy, subtotal colectomy, and rectopexy.
The researchers found that cardiopulmonary comorbidities were more frequent in elderly compared with young patients, occurring in 80% vs 33%, respectively.
Mean operating times were similar between elderly and young patients.
The team noted that 32 patients required conversion to laparotomy.
There was no mortality.
The team observed that overall postoperative complications were comparable between groups.The team found that 16 patients, 5 elderly and 11 young, required reoperation.Mean hospital stay was comparable between groups.
Dr Chautard's team concluded, "This large case-matched study suggested that laparoscopic colorectal surgery may be proposed in elderly patients."
"This surgery has similar postoperative outcomes as in young patients, despite significantly more frequent cardiorespiratory comorbidities."