Laparoscopic surgery for colorectal cancer is safe and has survival outcomes similar to those of open surgery in elderly patients with a poor performance status

subanalysis of a large multicenter case–control study in Japan

Hiroaki Niitsu, Takao Hinoi, Yasuo Kawaguchi, Hideki Ohdan, Hirotoshi Hasegawa, Ichio Suzuka, Yosuke Fukunaga, Takashi Yamaguchi, Shungo Endo, Soichi Tagami, Hitoshi Idani, Takao Ichihara, Kazuteru Watanabe, Masahiko Watanabe

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: It remains controversial whether open or laparoscopic surgery should be indicated for elderly patients with colorectal cancer and a poor performance status. Methods: In those patients aged 80 years or older with Eastern Cooperative Oncology Group performance status score of 2 or greater who received elective surgery for stage 0 to stage III colorectal adenocarcinoma and had no concomitant malignancies and who were enrolled in a multicenter case–control study entitled “Retrospective study of laparoscopic colorectal surgery for elderly patients” that was conducted in Japan between 2003 and 2007, background characteristics and short-term and long-term outcomes for open surgery and laparoscopic surgery were compared. Results: Of the 398 patients included, 295 underwent open surgery and 103 underwent laparoscopic surgery. There were no significant differences in the baseline characteristics between open surgery and laparoscopic surgery patients, except for previous abdominal surgery and TNM stage. The median operation duration was shorter with open surgery (open surgery, 153 min; laparoscopic surgery, 202 min; P 

Original languageEnglish
Pages (from-to)43-54
Number of pages12
JournalJournal of Gastroenterology
Volume51
Issue number1
DOIs
Publication statusPublished - 2016 Jan 1

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Laparoscopy
Multicenter Studies
Colorectal Neoplasms
Japan
Survival
Colorectal Surgery
Adenocarcinoma
Retrospective Studies
Neoplasms

Keywords

  • Colon cancer
  • Elderly patient
  • Laparoscopic surgery
  • Performance status
  • Rectal cancer

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Laparoscopic surgery for colorectal cancer is safe and has survival outcomes similar to those of open surgery in elderly patients with a poor performance status : subanalysis of a large multicenter case–control study in Japan. / Niitsu, Hiroaki; Hinoi, Takao; Kawaguchi, Yasuo; Ohdan, Hideki; Hasegawa, Hirotoshi; Suzuka, Ichio; Fukunaga, Yosuke; Yamaguchi, Takashi; Endo, Shungo; Tagami, Soichi; Idani, Hitoshi; Ichihara, Takao; Watanabe, Kazuteru; Watanabe, Masahiko.

In: Journal of Gastroenterology, Vol. 51, No. 1, 01.01.2016, p. 43-54.

Research output: Contribution to journalArticle

Niitsu, H, Hinoi, T, Kawaguchi, Y, Ohdan, H, Hasegawa, H, Suzuka, I, Fukunaga, Y, Yamaguchi, T, Endo, S, Tagami, S, Idani, H, Ichihara, T, Watanabe, K & Watanabe, M 2016, 'Laparoscopic surgery for colorectal cancer is safe and has survival outcomes similar to those of open surgery in elderly patients with a poor performance status: subanalysis of a large multicenter case–control study in Japan', Journal of Gastroenterology, vol. 51, no. 1, pp. 43-54. https://doi.org/10.1007/s00535-015-1083-y
Niitsu, Hiroaki ; Hinoi, Takao ; Kawaguchi, Yasuo ; Ohdan, Hideki ; Hasegawa, Hirotoshi ; Suzuka, Ichio ; Fukunaga, Yosuke ; Yamaguchi, Takashi ; Endo, Shungo ; Tagami, Soichi ; Idani, Hitoshi ; Ichihara, Takao ; Watanabe, Kazuteru ; Watanabe, Masahiko. / Laparoscopic surgery for colorectal cancer is safe and has survival outcomes similar to those of open surgery in elderly patients with a poor performance status : subanalysis of a large multicenter case–control study in Japan. In: Journal of Gastroenterology. 2016 ; Vol. 51, No. 1. pp. 43-54.
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