Is Age a Risk Factor of Postoperative Complications in Colorectal Cancer?

Journal Title: Polish Journal of Surgery - Year 2013, Vol 85, Issue 9

Abstract

Colorectal cancer is the most common malignant neoplasm in elderly with peak of incidence in 7. and 8. decade of life. Elderly patients with colorectal cancer more often require surgery. Advanced age of patients seems to increase the risk of postoperative complications. The aim of the study was to compare the frequency of early complications in two groups of patients: under 75 and over 75, undergoing elective colorectal cancer surgery. Material and methods. 440 consecutive adult patients subjected to colorectal cancer surgery between 08.2006 to 10.2011 in Oncological Surgery Department, Gdynia Centre of Oncology. Group A (over 75 year-of-life): 109 patients, median 79 and group B (up to 75 year-of-life): 331 patients, median 65. Patients requiring emergency surgery were excluded from the study. Postoperative 30-day mortality, anastomotic leakage, wound infection, bowel obstruction, postoperative respiratory and circulatory insufficiency were among analyzed complications. Results. Symptomatic disease was observed in 81.6% of group A and in 83% of group B. Groups A and B were comparable concerning: BMI, gender, tumor staging, rate of curative and palliative resections, and duration of hospital stay. Accompanying diseases were more common in group A (83% vs 65%; p<0.0002). Early complications occurred in 21.1% of patients from group A and in 19.9% from group B. The rate of reoperation in early perioperative period didn’t differ (6.4% vs 5.7%). Features like: age, gender, additional illnesses, tumor location and staging did not influence the occurrence of perioperative complications. Conclusions. Age itself is not a risk factor for postoperative complications in spite of higher rate of accompanying diseases in elderly.

Authors and Affiliations

Jacek Wydra, Wiesław Kruszewski, Wojciech Jasiński, Mariusz Szajewski, Maciej Ciesielski, Jarosław Szefel, Jakub Walczak

Keywords

Related Articles

Uchyłki okołobrodawkowe dwunastnicy u pacjentów z kamicą przewodową – doświadczenia własne

Uchyłki okołobrodawkowe dwunastnicy występują w 9 do 32,8% populacji dorosłych. Celem pracy była ocena częstości występowania uchyłków okołobrodawkowych dwunastnicy w badanej grupie oraz określenie czy ich obecność wpływ...

Wpływ polimorfizmu Ser326Cys genu OGG1 na poziom uszkodzeń oksydacyjnych DNA u pacjentów z rakiem jelita grubego

W wyniku działania reaktywnych form tlenu na komórki dochodzi do szerokiego zakresu uszkodzeń zarówno organelli komórkowych, jak i cząsteczek, w tym DNA. Uszkodzenia oksydacyjne w obrębie materiału genetycznego prowadzić...

Gastrointestinal Tract Obstruction Due to Jejunal Adenocarcinoma – Case Report

The study presented a rare case of jejunal adenocarcinoma in a 60-year-old patient with symptoms of high subileus. No risk factors or coexisting diseases, which predispose towards intestinal cancer were detected. The stu...

Intraperitoneal alloplasty combined with the anterior component separation in giant incisional hernias

The use of the anterior technique for abdominal wall components separation combined with “onlay” alloplasty (ACST + onlay) in giant incisional hernias (IH) may pose a surgical challenge as it does not exclude increased i...

Preoperative pancreatic duct stenting in patients undergoing laparoscopic pancreatic surgery – a preliminary report

Laparoscopic surgery is becoming an approved technique in pancreatic surgery. It offers some advantages over an open approach due to shorter hospital stay and decreased complication rate. Regardless the technique the mos...

Download PDF file
  • EP ID EP74584
  • DOI 10.2478/pjs-2013-0076
  • Views 128
  • Downloads 0

How To Cite

Jacek Wydra, Wiesław Kruszewski, Wojciech Jasiński, Mariusz Szajewski, Maciej Ciesielski, Jarosław Szefel, Jakub Walczak (2013). Is Age a Risk Factor of Postoperative Complications in Colorectal Cancer?. Polish Journal of Surgery, 85(9), 491-495. https://europub.co.uk/articles/-A-74584