Short-term and Long-term Outcomes of Laparoscopic Colorectal Cancer Resections in the Octogenarian Patients

80歲以上大腸直腸癌患者接受腹腔鏡切除手術的短期及長期結果報告

Chien-Hsin Chen(陳建信) ； Yen-Jung Lu(盧延榕) ； En-Kwang Lin(林恩光) ； Ming-Che Lee(李明哲)

《中華民國大腸直腸外科醫學會雜誌》 34卷1期 (2023/03) Pp. 1-8

https://doi.org/10.6312/SCRSTW.202303_34(1).11102

摘要

Purpose. To investigate the feasibility and the outcomes of the octogenarian colorectal cancer patients underwent laparoscopic resection with curative intent. Methods and Materials. From January 2007 to December 2017, 309 consecutive patients who had colorectal cancers undergoing laparoscopic resection in Taipei Wan Fang Hospital were enrolled into our study. There were 51 patients who were older than 80 years old. Their medical records were review and analyzed. Results. In those patients, five patients were converted to open surgery (conversion rate: 10%). Overall 46 patients were enrolled into our study. The 30-day mortality rate was 2% (one patient died of heart disease). The average operative times were 249±85 minutes. The average hospital stays were 13.5±6.4 days. The 30-day morbidity rate was 26% (twelve patients). But only one patient must need surgical interventions due to left ureter injury. During the periods of follow up, 16 patients died. 5-year overall survival rate was 66% and 5-year disease-free survival rates was 81%. Conclusion. Laparoscopic colorectal cancer resection may be a safe and feasible procedure with acceptable morbidity and mortality rates in the octogenarian patients. Laparoscopic colorectal cancer resection might be recommended for the octogenarian patients.

關鍵字

Laparoscopic surgery ； Colorectal cancer ； Octogenarian

並列摘要

目的：研究及探討80歲以上大腸直腸癌患者在接受腹腔鏡大腸直腸癌根治手術的可行性及成果。病人及方法：我們搜集及分析萬芳醫院從西元2007年一月至2017年12月期間，接受腹腔鏡切除手術的病人病歷。其中年紀超過80歲的共有51位。我們對這51位病人病歷做詳細分析及複閱。結果：其中有5人因各種因素轉為開腹手術，轉為開腹手術比率為10%。共計有46名進入我們的研究。平均手術時間為249±85分鐘。平均住院天數為13.5天。30天內併發症為26%。5年全存活率為66%。5年無復發存活率為81%。結論：腹腔鏡大腸直腸癌切除術，對於80歲以上之病人來說，是一個安全有效的手術。

並列關鍵字

腹腔鏡手術 ； 大腸直腸癌 ； 老年 ； 80歲以上

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