Are there any differences between age groups regarding colorectal surgery in elderly patients?
Are there any differences between age groups regarding colorectal surgery in elderly patients?
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DOI：
10.1186/1471-2482-14-44
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发表时间：
2014-07-15
期刊：
影响因子：
1.9
通讯作者：
Demirag, Alp
中科院分区：
文献类型：
--
作者：
Bircan, Huseyin Yuce;Koc, Bora;Demirag, Alp
背景资料：在70岁以上受试者中，具有治愈或姑息意图的外科手术代表了结直肠手术的挑战，因为它们提出了一个问题：受益与发病率增加。在本研究中，我们建议将手术的影响与手术干预的短期结果进行比较，并分析可能影响老年年龄组这些结果的因素。方法：我们回顾性分析了一个数据库，其中包含2008年1月至2013年12月在巴斯肯特大学伊斯坦布尔研究医院和奥克梅卡尼培训和研究中心接受结直肠手术的患者信息。结果：在这项回顾性研究中，共有265例患者入选并进行了分析。在研究期间接受手术的患者中，110例年龄在60 - 69岁之间（第1组），99例年龄在70 - 79岁之间，56例年龄超过80岁。总共有138名（52%）男性和127名（48%）女性接受了结直肠手术。第1组和第2组、第2组和第3组之间的术中并发症无差异;但是，第1组和第3组之间观察到一些差异（p = 0.001）。第3组的全身并发症发生率高于第1组（p = 0.039）和第2组（p = 0.002）。此外，第1组和第2组之间的全身并发症无显著差异。术后平均住院时间第一组为9.91 ± 2.65天，第二组为9.38 ± 2.44天，第三组为11.8 ± 4.35天。因此，年龄不应被视为老年患者接受结直肠切除术的障碍。
Background: Surgical procedures with curative or palliative intentions in subjects aged over 70 represent a colorectal surgical challenge due to the issue they raise: Benefits versus increased morbidity. In this study, we proposed to compare the impact of surgery with the surgical intervention short-term results and analyze the factors that may influence these results in elderly age groups.Methods: We retrospectively analyzed a database containing information about patients who underwent colorectal surgery from January 2008 to December 2013 at the Baskent University Istanbul Research Hospital and the Okmeydani Training and Research Hospital.Results: A total of 265 patients were enrolled and analyzed in this retrospective study. Of these patients operated during the study period, 110 were between 60 and 69 years of age (group 1), 99 were between 70 and 79 years of age and 56 were older than 80 years of age. In total, there were 138 (52%) men and 127 (48%) women that underwent colorectal surgery. Intraoperative complications did not differ between group 1 and group 2, group 2 and group 3; however, some differences were observed between group 1 and group 3 (p = 0.001). Systemic complications were more frequent in group 3 than in groups 1 (p = 0.039) and 2 (p = 0.002). Furthermore, there were no significant systemic complication differences between groups 1 and 2. The mean length of postoperative hospital stay was 9.91 +/- 2.65 days in the first group, 9.38 +/- 2.44 days in the second group and 11.8 +/- 4.35 days in the third group.Conclusion: Colon surgery for both malignant and non-malignant diseases can be performed safely in different elderly age groups; thus, age should not be considered as an obstacle in elderly patients undergoing colorectal resection.