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BMC Geriatrics

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Volume 10 Supplement 1

de Senectute: Age and Health Forum

Open Access

Complications of colorectal surgery

  • V Minutolo1,
  • A Buttafuoco2,
  • G Gagliano2,
  • O Minutolo1 and
  • R Morana1
BMC Geriatrics201010(Suppl 1):A14

https://doi.org/10.1186/1471-2318-10-S1-A14

Published: 19 May 2010

Background

There is a more important incidence (73% males and 78% females) of neoplastic colorectal pathology in patients over 75. Old age is generally considered as a risk factor, whether in terms of morbidity or mortality. Several authors reported an increase of postoperative complications (25,5%-41,2% versus 16,3%-21,5%) in old patients [1, 2].

Falch C. reports a 30-day mortality of 12% in patients over the age of 80 against 3% of patients between 60 and 79 years. [3]

Age alone isn’t a promoting factor of complications in selected older patients [4].

Materials and methods

155 non selected patients have been operated on for colorectal carcinoma; 101 patients (65,15%) were over 70 (A Group), and 54 (34,85%) under 70 (B Group). We performed 30 left hemicolectomies, 66 right hemicolectomies, 2 transversectomies, 34 rectal resections, 21 sigmoidectomies, 2 Miles’s amputations. 33.66% patients of A group had associated pathologies (diabetes, vascular and vasculocerebral diseases) . In 11 patients a palliative operation was performed. 27 patients of A group were operated on in emergency.

Results

In A group postoperative complications were 5,9% and in B group 5,5% including an intraoperative ureter injury, immediately repaired. Anastomotic dehiscence occurred in 1,98% of A group (patients operated on in emergency) and 0% of B group. Mortality was 1,98% in A group.Two reoperations were performed.

Conclusions

Long term outcomes are similar whether in patients over 70 or under 70, while it’s only the lower ability of the former to react against complications that produce a careful evaluation of single patient. Prevention or reduction of complications is possible by carrying out some measures and precautions.

Authors’ Affiliations

(1)
Department of Surgical Sciences, Organ Transplantations and Advanced Technologies, Catania University of Studies
(2)
General Surgery C.O.U. - Hospital “ Guzzardi”, Vittoria (Rg)

References

  1. Marusch F, Koch A, Schmidt U, Zippel R, Gastmeier J, Ludwig K, Geissler S, Pross M, Gastinger I, Lippert H: Impact of age on the short-term postoperative outcome of patients undergoing surgery for colorectal carcinoma. Int J Colorectal Dis. 2002, 17 (3): 177-84. 10.1007/s003840100344.PubMedView ArticleGoogle Scholar
  2. Braun L: Prognosis of colorectal cancer in patients over 80. Dtsch Med Wochenschr. 1986, 111 (49): 1869-73. 10.1055/s-2008-1068727.PubMedView ArticleGoogle Scholar
  3. Falch C, Kratt T, Beckert S, Kirschniak A, Zieker D, Königsrainer I, Löb S, Hartmann JT, Königsrainer A, Brücher BL: Surgery of colorectal carcinoma in patients aged over 80. Onkologie. 2009, 32 (1-2): 10-6. 10.1159/000184580. Epub 2009 Jan 20.PubMedView ArticleGoogle Scholar
  4. Capra F, Scintu F, Zorcolo L, Casula G: Surgical treatment for colorectal cancer in patients over 80 years. Short and long term results. Minerva Chir. 2003, 58 (4): 515-22.PubMedGoogle Scholar

Copyright

© Minutolo et al; licensee BioMed Central Ltd. 2010

This article is published under license to BioMed Central Ltd.

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