Palliative Surgical Approaches for Older Patients with Colorectal Cancer

摘要: Colorectal cancer is a condition of increasing age, where up to 40 % cases present as colorectal emergencies, most notably obstruction and perforation. The adoption screening programs in this cohort has been shown slightly reduce these emergency presentations high-risk cases, although the elderly will have different aims than that rest population. In older patients, be designed detect cancers at an earlier stage, polyp detection some less important given relationship between transformation expected lifespan patient. more palliative resections are performed with use adjuvant neoadjuvant therapies, there no current evidence which suggests unsuitable for chemotherapies or radiation protocols. A standardized assessment attendant comorbidities objective expression frailty index assist defining those patients perioperative risk better delineate higher postoperative institutionalization who require intensive monitoring planned care stays. issue colonic stenting, either definitive therapy bridge surgery, discussed it applies elderly, suggesting overall disadvantage stent cancer-specific survival might substantial cost benefit reduced need stomas, primary anastomosis rate length hospital ICU stay. minimally invasive surgery both rectal lagging initial data mortality morbidity unaffected by age. Equally, expansion hepatic resection metastatic shows detailed patient selection associated good outcomes over 70 years question management stage IV case symptomatic (or asymptomatic) remains controversial, likelihood presenting emergent surgical problem low. chemo-immunotherapy group currently under-represented needs definition.