Cic edizioni internazionali
Il Giornale di Chirurgia

Laparoscopic or open hemicolectomy for elderly patients with right colon cancer? A retrospective analysis

Original Article, 205 - 208
doi: 10.11138/gchir/2015.36.5.205
Tag this article
Abstract
Enhanced HTML Full text PDF
Aim. The aim of this study was to compare the short-term surgical outcomes of laparoscopically-assisted right hemicolectomy (LRH) and open right hemicolectomy (ORH) in elderly patients.
Patients and methods-Results. Seventy-five patients underwent right hemicolectomy for cancer during the study period, with 41 patients aged ≥ 70 years old. Twenty-four patients underwent ORH and seventeen patients had a LRH (58% vs 42%).We found no differences between ORH and LRH in terms of mean operative time :89,5 minutes in open vs 80 minutes in laparoscopic group and return of bowel function (2,76 vs 2,54 days). Also the length of hospital stay did not differ significantly between the two groups (8,5 days in ORH vs 7 days in LRH – p 0,06). Postoperative morbidity was higher in ORH (25% vs 5%) though not statistically significant and the incidence of anastomotic leakage was similar between the two groups (8% vs 5%).
Conclusion. Laparoscopic RH in an elderly population is feasible and safe. However, we found no evidence to suggest that it is better than open RH and think that the decision regarding the method of operation should reflect surgeon expertise, patient co-morbidities and the necessity to perform extended resections.

Vol. XXXVII (No. 6) 2016 November-December

  1. Mannheim Peritonitis Index (MPI) and elderly population: prognostic evaluation in acute secondary peritonitis
    Salamone G., Licari L., Falco N., Augello G., Tutino R., Campanella S., Guercio G., Gulotta G.
    doi: 10.11138/gchir/2016.37.6.243
  2. Early discharge after total thyroidectomy: a retrospective feasibility study
    Tartaglia F., Giuliani A., Sorrenti S., Tromba L., Carbotta S., Maturo A., Carbotta G., De Anna L., Merola R., Livadoti G., Pelle F., Ulisse S.
    doi: 10.11138/gchir/2016.37.6.250
  3. Open sphincter-preserving surgery of extraperitoneal rectal cancer without primary stoma and Fast Track Protocol
    Pappalardo G., Coiro S., De Lucia F., Giannella A., Ruffolo F., Frattaroli F.M.
    doi: 10.11138/gchir/2016.37.6.257
  4. Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series
    Militello G., De Marco P., Falco N., Kabhuli K., Mascolino A., Licari L., Tutino R., Cocorullo G., Gulotta G.
    doi: 10.11138/gchir/2016.37.6.262
  5. Topical hemostasis in laparoscopic surgery
    Vecchio R., Catalano R., Basile F., Spataro C., Caputo M., Intagliata E.
    doi: 10.11138/gchir/2016.37.6.266
  6. Long lasting postoperative ileus after surgery for intestinal obstruction due to left paraduodenal hernia (LPDH). Case report
    Volpi A., Ialongo P., Panebianco A., Lozito R., Prestera A., Laforgia R., Punzo C., Palasciano N.
    doi: 10.11138/gchir/2016.37.6.271
  7. Neuroendocrine tumor of the common bile duct: case report
    Raspanti C., Falco N., Silvestri V., Rotolo G., Bonventre S., Gulotta G.
    doi: 10.11138/gchir/2016.37.6.275
  8. Small bowel obstruction caused by Anisakis and Meckel’s diverticulum: a rare case
    Carbotta G., Laforgia R., Milella M., Sederino M.G., Minafra M., Fortarezza F., Piscitelli D., Palasciano N.
    doi: 10.11138/gchir/2016.37.6.281
  9. XIX CONGRESSO MULTIDISCIPLINARE - Ricerca Scientifica ed Innovazione Tecnologica Etica e Sostenibilità
    Di Matteo G.
  10. 27° CONGRESSO CHIRURGIA DELL’APPARATO DIGERENTE
    Di Matteo G.
  11. Prof. Antonio Petrassi
    Di Matteo G.
Last Viewed articles: la lista degli ultimi x visitati.
  1. Laparoscopic or open hemicolectomy for elderly patients with right colon cancer? A retrospective analysis
    Guida F., Clemente M., Valvano L., Napolitano C.
    doi: 10.11138/gchir/2015.36.5.205
credits