Single‐port laparoscopic colectomy in elderly patients with colon cancer: A propensity score‐matched comparison with younger patients
Introduction This study aims to evaluate the safety and feasibility of single‐port laparoscopic colectomy (SPLC) in elderly patients with colon cancer. Methods During the study period, 344 patients underwent SPLC in our hospital. Among them, 87 patients were aged 80 years and older, and 257 patients...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2020-04, Vol.13 (2), p.175-179 |
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| creator | Hirano, Yasumitsu Hiranuma, Chikashi Hattori, Masakazu Douden, Kenji Yamaguchi, Shigeki |
| description | Introduction
This study aims to evaluate the safety and feasibility of single‐port laparoscopic colectomy (SPLC) in elderly patients with colon cancer.
Methods
During the study period, 344 patients underwent SPLC in our hospital. Among them, 87 patients were aged 80 years and older, and 257 patients were younger than 80 years. After 1:1 propensity‐score matching, 87 elderly patients were compared with 87 young patients.
Results
Short‐term clinical outcomes after SPLC were equivalent between the two groups, although the elderly group had a higher ASA score and more postoperative complications. The 5‐year overall survival rates were 64.6% in the elderly group and 66.8% in control group. The 5‐year cancer‐specific survival rates were 78.0% in the elderly group and 70.9% in control group. There were no significant differences between the groups.
Conclusion
Our results indicated that SPLC is technically feasible for operative teams that have adequately standardized the procedure, and it is oncologically safe in elderly patients with colon cancer. |
| doi_str_mv | 10.1111/ases.12719 |
| format | Article |
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This study aims to evaluate the safety and feasibility of single‐port laparoscopic colectomy (SPLC) in elderly patients with colon cancer.
Methods
During the study period, 344 patients underwent SPLC in our hospital. Among them, 87 patients were aged 80 years and older, and 257 patients were younger than 80 years. After 1:1 propensity‐score matching, 87 elderly patients were compared with 87 young patients.
Results
Short‐term clinical outcomes after SPLC were equivalent between the two groups, although the elderly group had a higher ASA score and more postoperative complications. The 5‐year overall survival rates were 64.6% in the elderly group and 66.8% in control group. The 5‐year cancer‐specific survival rates were 78.0% in the elderly group and 70.9% in control group. There were no significant differences between the groups.
Conclusion
Our results indicated that SPLC is technically feasible for operative teams that have adequately standardized the procedure, and it is oncologically safe in elderly patients with colon cancer.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.12719</identifier><identifier>PMID: 31250557</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Colectomy - adverse effects ; colon cancer ; Colonic Neoplasms - mortality ; Colonic Neoplasms - surgery ; Colorectal cancer ; Colorectal surgery ; elderly patients ; Feasibility Studies ; Female ; Humans ; Laparoscopy ; Laparoscopy - adverse effects ; Male ; Middle Aged ; Postoperative Complications - epidemiology ; Propensity Score ; Retrospective Studies ; single‐port laparoscopic colectomy ; Survival Rate ; Treatment Outcome</subject><ispartof>Asian journal of endoscopic surgery, 2020-04, Vol.13 (2), p.175-179</ispartof><rights>2019 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd</rights><rights>2019 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.</rights><rights>2020 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3819-6f5218c190db55f972aa91ebe2105f5f34bad53b9cd2a35ea6dac2dcd437c9933</citedby><cites>FETCH-LOGICAL-c3819-6f5218c190db55f972aa91ebe2105f5f34bad53b9cd2a35ea6dac2dcd437c9933</cites><orcidid>0000-0001-9087-2715</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.12719$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.12719$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1413,27906,27907,45556,45557</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31250557$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirano, Yasumitsu</creatorcontrib><creatorcontrib>Hiranuma, Chikashi</creatorcontrib><creatorcontrib>Hattori, Masakazu</creatorcontrib><creatorcontrib>Douden, Kenji</creatorcontrib><creatorcontrib>Yamaguchi, Shigeki</creatorcontrib><title>Single‐port laparoscopic colectomy in elderly patients with colon cancer: A propensity score‐matched comparison with younger patients</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Introduction
This study aims to evaluate the safety and feasibility of single‐port laparoscopic colectomy (SPLC) in elderly patients with colon cancer.
Methods
During the study period, 344 patients underwent SPLC in our hospital. Among them, 87 patients were aged 80 years and older, and 257 patients were younger than 80 years. After 1:1 propensity‐score matching, 87 elderly patients were compared with 87 young patients.
Results
Short‐term clinical outcomes after SPLC were equivalent between the two groups, although the elderly group had a higher ASA score and more postoperative complications. The 5‐year overall survival rates were 64.6% in the elderly group and 66.8% in control group. The 5‐year cancer‐specific survival rates were 78.0% in the elderly group and 70.9% in control group. There were no significant differences between the groups.
Conclusion
Our results indicated that SPLC is technically feasible for operative teams that have adequately standardized the procedure, and it is oncologically safe in elderly patients with colon cancer.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Colectomy - adverse effects</subject><subject>colon cancer</subject><subject>Colonic Neoplasms - mortality</subject><subject>Colonic Neoplasms - surgery</subject><subject>Colorectal cancer</subject><subject>Colorectal surgery</subject><subject>elderly patients</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - epidemiology</subject><subject>Propensity Score</subject><subject>Retrospective Studies</subject><subject>single‐port laparoscopic colectomy</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kb9OHDEQh60oKBBIkweILNFEkY74z3l3TXdCBCIhUVyoLa89C0Zee2PvCm2Xlo5nzJPg4-CKFJlmpvjm02h-CH2m5ISW-q4z5BPKairfoQNai2YhJCXvdzNh--hjzveEVDVd8g9on1MmiBD1AXpcu3Dr4e-fpyGmEXs96BSziYMz2EQPZoz9jF3A4C0kP-NBjw7CmPGDG-82SAzY6GAgneIVHlIcIGQ3zrhI0sbb69HcgS1oX9wuF_5ldY5TuIW0Ex6hvU77DJ9e-yG6-XH-6-xycXV98fNsdbUwvKFyUXWC0cZQSWwrRCdrprWk0AKjRHSi48tWW8FbaSzTXICurDbMGrvktZGS80P0destt_6eII-qd9mA9zpAnLJi5TUVr1m1LOjxP-h9nFIo1ynGm6oism5Iob5tKVM-lxN0akiu12lWlKhNQGoTkHoJqMBfXpVT24PdoW-JFIBugQfnYf6PSq3W5-ut9BnmPqCH</recordid><startdate>202004</startdate><enddate>202004</enddate><creator>Hirano, Yasumitsu</creator><creator>Hiranuma, Chikashi</creator><creator>Hattori, Masakazu</creator><creator>Douden, Kenji</creator><creator>Yamaguchi, Shigeki</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9087-2715</orcidid></search><sort><creationdate>202004</creationdate><title>Single‐port laparoscopic colectomy in elderly patients with colon cancer: A propensity score‐matched comparison with younger patients</title><author>Hirano, Yasumitsu ; Hiranuma, Chikashi ; Hattori, Masakazu ; Douden, Kenji ; Yamaguchi, Shigeki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3819-6f5218c190db55f972aa91ebe2105f5f34bad53b9cd2a35ea6dac2dcd437c9933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Colectomy - adverse effects</topic><topic>colon cancer</topic><topic>Colonic Neoplasms - mortality</topic><topic>Colonic Neoplasms - surgery</topic><topic>Colorectal cancer</topic><topic>Colorectal surgery</topic><topic>elderly patients</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - epidemiology</topic><topic>Propensity Score</topic><topic>Retrospective Studies</topic><topic>single‐port laparoscopic colectomy</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hirano, Yasumitsu</creatorcontrib><creatorcontrib>Hiranuma, Chikashi</creatorcontrib><creatorcontrib>Hattori, Masakazu</creatorcontrib><creatorcontrib>Douden, Kenji</creatorcontrib><creatorcontrib>Yamaguchi, Shigeki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hirano, Yasumitsu</au><au>Hiranuma, Chikashi</au><au>Hattori, Masakazu</au><au>Douden, Kenji</au><au>Yamaguchi, Shigeki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single‐port laparoscopic colectomy in elderly patients with colon cancer: A propensity score‐matched comparison with younger patients</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2020-04</date><risdate>2020</risdate><volume>13</volume><issue>2</issue><spage>175</spage><epage>179</epage><pages>175-179</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>Introduction
This study aims to evaluate the safety and feasibility of single‐port laparoscopic colectomy (SPLC) in elderly patients with colon cancer.
Methods
During the study period, 344 patients underwent SPLC in our hospital. Among them, 87 patients were aged 80 years and older, and 257 patients were younger than 80 years. After 1:1 propensity‐score matching, 87 elderly patients were compared with 87 young patients.
Results
Short‐term clinical outcomes after SPLC were equivalent between the two groups, although the elderly group had a higher ASA score and more postoperative complications. The 5‐year overall survival rates were 64.6% in the elderly group and 66.8% in control group. The 5‐year cancer‐specific survival rates were 78.0% in the elderly group and 70.9% in control group. There were no significant differences between the groups.
Conclusion
Our results indicated that SPLC is technically feasible for operative teams that have adequately standardized the procedure, and it is oncologically safe in elderly patients with colon cancer.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>31250557</pmid><doi>10.1111/ases.12719</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-9087-2715</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Age Factors Aged Aged, 80 and over Colectomy - adverse effects colon cancer Colonic Neoplasms - mortality Colonic Neoplasms - surgery Colorectal cancer Colorectal surgery elderly patients Feasibility Studies Female Humans Laparoscopy Laparoscopy - adverse effects Male Middle Aged Postoperative Complications - epidemiology Propensity Score Retrospective Studies single‐port laparoscopic colectomy Survival Rate Treatment Outcome |
| title | Single‐port laparoscopic colectomy in elderly patients with colon cancer: A propensity score‐matched comparison with younger patients |
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