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. XXXIX (No. 2) 2018 March-April

  1. Does the Internet provide patients or clinicians with useful information regarding faecal incontinence? An observational study
    Leo C.A., Murphy J., Hodgkinson J.D., Vaizey C.J., Maeda Y.
    doi: 11138/gchir/2018.39.2.071
  2. The use of local anesthesia to perform lower limb revascularization in the fragile patient with critical limb ischemia
    Kontopodis N., Papaioannou A., Tavlas E., Papadopoulos G., Lioudaki S., Tzirakis K., Ioannou C.V.
    doi: 11138/gchir/2018.39.2.077
  3. Totally laparoscopic resection and extraction of specimens via transanal route in synchronous colon and gastric cancer
    Sumer F., Karakas S., Gundogan E., Sahin T., Kayaalp C.
    doi: 11138/gchir/2018.39.2.082
  4. Laparoscopic cholecystectomy for acute cholecystitis: are intended operative approach, timing and outcome affected by BMI? A multicenter retrospective study
    Lauro A., Vaccari S., Cervellera M., Casella G., D'Andrea V., Di Matteo F.M., Panarese A., Santoro A., Cirocchi R., Tonini V.
    doi: 11138/gchir/2018.39.2.087
  5. Severe neurological complication following adjustable gastric banding
    Martines G., Musa N., Aquilino F., Capuano P.
    doi: 11138/gchir/2018.39.2.092
  6. Malakoplakia of the large intestine: an incidental extremely rare finding
    Koutserimpas C., Ioannidis A., Demonakou M., Siaperas P., Skarpas A., Velimezis G., Karanikas I.
    doi: 11138/gchir/2018.39.2.097
  7. Superior vena cava syndrome due to central port catheter thrombosis: a real life-threatening condition
    Lianos G.D., Hasemaki N., Tzima E., Vangelis G., Tselios A., Mpailis I., Lekkas E.
    doi: 11138/gchir/2018.39.2.101
  8. Primary abdominal wall endometriosis: presentation of rarely seen two cases
    Ferhatoglu M.F., Senol K.
    doi: 11138/gchir/2018.39.2.107
  9. A case of peduncolated Brunner's gland hamartoma
    Tornambè A., Tornambè G.
    doi: 11138/gchir/2018.39.2.111
  10. Paget’s disease of the male breast: case report and a point of view from actual literature
    Vergine M., Musella A., Gulotta E., Frusone F., De Luca A., Maceli F., Libia A., Benedetti Panici P., Monti M.
    doi: 11138/gchir/2018.39.2.114
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