Outcome of laparoscopic colorectal surgery in older patients

摘要: The object of this study was to assess the outcome laparoscopic colorectal surgery in patients >60 years age and compare it a younger group who underwent similar procedures. All consecutive or laparoscopic-assisted procedure were evaluated. parameters analyzed included gender, indication for surgery, procedure, complications, conversions, length ileus, hospitalization, comorbidity. results 60 older compared procedure-matched patients. Between August 1991 1995, 165 procedure. Thirty-six [mean age, 73 (60-88) ; 17 males 19 females] with 36 44 (20-58) 13 23 females]. indications Crohn's disease 14 patients, polyps 23, diverticular 15, carcinoma 11, fecal incontinence 4, rectal prolapse 2, radiation proctitis sigmoidocele 1. Identical procedures performed each including right colectomy ileocolic resection sigmoidectomy 14, loop ileostomy 3, colostomy 1, abdominoperineal 1 patient. Fourteen (38%) elderly had comorbid conditions ischemic heart (3), chronic obstructive pulmonary hypertension (2), renal failure atherosclerotic vascular congestive (1), diabetes (1). cleared by their respective specialists. There no statistically significant differences between groups relative incidence complications (11 vs 14%, respectively) conversion (8 11%, ileus (2.8 4.2 days, hospitalization (5.2 6.5 (P = NS all). mortality either group. is that noted Advanced should not be contraindication surgery.