Journal of Surgical Education
Volume 67, Issue 3 , Pages 161-166 , May 2010

Laparoscopic Colectomy In Octogenarians and Nonagenarians: A Preferable Option to Open Surgery?

Aspects of this work were presented as a poster at the 94th Annual Clinical Congress of the American College of Surgeons, San Francisco, October 2008.

References 

  1. Liang JT, Shieh MJ, Chen CN, et al. Prospective evaluation of laparoscopy-assisted colectomy versus laparotomy with resection for management of complex polyps of the sigmoid colon. World J Surg. 2002;26:377–383
  2. Braga M, Vignali A, Gianotti L, et al. Laparoscopic versus open colorectal surgery (A randomized trial on short-term outcome). Ann Surg. 2002;236:759–767
  3. Abraham NS, Young JM, Solomon MJ. Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer. Br J Surg. 2004;91:1111–1124
  4. Weber DM. Laparoscopic surgery: An excellent approach in elderly patients. Arch Surg. 2003;138:1083–1088
  5. U.S. Census Bureau. International database (Table 094. Midyear population, by age and sex). http://www.census.gov/ipc/www/idb/country.php
  6. Bannenberg JJ, Rademaker BM, Gmndeman PF, et al. Hemodynamics during laparoscopy in the supine or prone position. Surg Endosc. 1995;9:125–127
  7. Dhoste K, Lacoste L, Karayan J, et al. Haemodynamic and ventilatory changes during laparoscopic cholecystectomy in elderly ASA III patients. Can J Anesth. 1996;43:783–788
  8. Marathe US, Lilly RE, Silvestry SC, et al. Alterations in hemodynamics and left ventricular contractility during carbon dioxide pneumoperitoneum. Surg Endosc. 1996;10:974–978
  9. Frasson M, Braga M, Vignali A, Zuliani W, Di Carlo V. Benefits of laparoscopic colorectal resection are more pronounced in elderly patients. Dis Colon Rectum. 2008;51:296–300
  10. Weeks JC, Nelson H, Gelber S, Sargent D, Schroeder G. Short-term quality of life outcomes following laparoscopic–assisted colectomy vs open colectomy for colon cancer. J Am Med Assoc. 2002;287:321–328
  11. Stewart BT, Stitz RW, Lumley JW. Laparoscopically assisted colorectal surgery in the elderly. Br J Surg. 1999;86:938–941
  12. Vignali A, Di Palo S, Tamburini A, et al. Laparoscopic vs. open colectomies in octogenarians: A case-matched control study. Dis Colon Rectum. 2005;48:2070–2075
  13. Law WL, Chu KW, Ming Tung PH. Laparoscopic colorectal resection: A safe option for elderly patients. J Am Coll Surg. 2002;195:768–773
  14. Feng B, Zheng MH, Mao ZH, et al. Clinical advantages of laparoscopic colorectal cancer surgery in the elderly. Aging Clin Exp Res. 2006;18:191–195
  15. Sklow B, Read T, Birnbaum E, et al. Age and type of procedure influence the choice of patients for laparoscopic colectomy. Surg Endosc. 2003;17:923–929
  16. Person B, Cera SM, Sands DR, et al. Do elderly patients benefit from laparoscopic surgery?. Surg Endosc. 2008;22:401–405
  17. Senagore AJ, Madbouly KM, Fazio VW, et al. Advantages of laparoscopic colectomy in older patients. Arch Surg. 2003;138:252–256
  18. Yamamoto S, Watanabe M, Hasegawa H, Baba H, Kitajima M. Short-term outcomes of laparoscopic colonic surgery in octogenarians: A matched case-control study. Surg Laparosc Endosc Percutan Tech. 2003;13:95–100
  19. Schwandner O, Schiedek T, Bruch H. Advanced age-indication or contraindication for laparoscopic colorectal surgery?. Dis Colon Rectum. 1999;42:356–362
  20. Chautard J, Alves A, Panis Y, et al. Laparoscopic colorectal surgery in elderly patients: A matched case-control study in 178 patients. J Am Coll Surg. 2008;206:255–260
  21. Chen H, Wexner S, Iroatulam A, et al. Laparoscopic colectomy compares favorably with colectomy by laparotomy for reduction of postoperative ileus. Dis Colon Rectum. 2000;43:61–65
  22. Garrett KA, Champagne BJ, Lee EC, et al. A single training center's experience with 200 consecutive cases of diverticulitis: Can all patients be approached laparoscopically?. Surg Endosc. 2008;22:2503–2508
  23. Jones OM, Stevenson AR, Clark D, et al. Laparoscopic resection for diverticular disease: Followup of 500 consecutive patients. Ann Surg. 2008;248:1092–1097
  24. Schwandner O, Frake S, Bruch HP, et al. Laparoscopic colectomy for recurrent and complicated diverticulitis: A prospective study of 396 patients. Langenbecks Arch Surg. 2004;389:97–103
  25. Marks J, Kawun U, Marks G, et al. Redefining contraindications to laparoscopic colorectal resection for high risk patients. Surg Endosc. 2008;22:1899–1904

 Competing interests: All authors have declared no conflicts of interest or financial ties to disclose.

PII: S1931-7204(10)00037-1

doi: 10.1016/j.jsurg.2010.02.009

Journal of Surgical Education
Volume 67, Issue 3 , Pages 161-166 , May 2010