Received: September 23, 2011; Accepted: October 20, 2011.
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ABSTRACT
Purpose : The safety and feasibility of laparoscopic colonic resection in elderly colorectal cancer patients remains
to be verified. The aim of this study was to determine the safety and feasibility of laparoscopic colonic resection
compared to open colonic resection for colorectal cancer in patients older than 80 years of age.
Methods : One hundred ninety two patients older than 80 years of age underwent curative resection for colorectal
cancer. Twenty-four (12.4%) patients who had been operated by laparoscopic surgery were compared with 168
(87.6%) patients who had undergone open colonic resection.
Results : The mean age of the 192 patients was 81.9 years. The postoperative complication and mortality were
17.1% and 1.5%, respectively. The preoperative clinical parameters were similar between the two groups. The
surgery time was longer in the laparoscopic group, but not significantly. The intraoperative blood loss was less in
the laparoscopic group (p=0.025). The major postoperative complications in the laparoscopic group and the open
groups were significantly different (0% vs 19.0%, p=0.018). There was no postoperative mortality in the
laparoscopic group, but 3 cases (1.7%) of mortality were seen in the open group (p=0.594).
Conclusion : Laparoscopic colonic resection in elderly colorectal cancer patients is safe and feasible. Therefore,
laparoscopic colonic resection can be recommended as an alternative treatment for colorectal cancer in patients
over 80 years of age.
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