Laporoscopic Colorectal Resection in Octogenerians Is as Good as in Younger Patients

Abstract

Purpose: To assess the feasibility and safety of laparoscopic colorectal re-section among octogenarians. Method: All patients who underwent laparoscopic colorectal resection were identified from an IRB approved, prospectively maintained laparoscopy database of a single surgeon, between the years 2004-2010. The patients were classified into two subgroups, below and above the age of 80 years (octogenarians and non octogenarians). Also, an additional group of patients, age above >80 years, who underwent open colon or rectal resection, was identified from the departmental database, while matching for age, gender, ASA score, type and indication (benign or malignant) for surgery. The subgroups were compared for postoperative morbidity and recovery parameters. Results: Seventy four patients under-went laparoscopic colorectal resection procedures by a single surgeon (20 octogenarian and 54 non-octogenarian patients). Mean age was 85.2 vs 62.1, respectively. Colon cancer was the most common indication for surgery in both groups of octogenarians. The Conversion rate was comparable between non and octogenarians. Postoperative morbidity rate and length of hospital stay were significantly higher after open procedures as compared to laparoscopic ones, in octogenarian and non octogenarian patients, 50% vs 15% vs 13%, p = 0.0001, and 12.4 vs 8.9 vs 7.6 days, p = 0.01, respectively. Conclusions: Laparoscopic colorectal resection is feasible and safe in octogenarians.