The Trends in Adoption, Outcomes, and Costs of Laparoscopic Surgery for Colorectal Cancer in the Elderly Population

Background The elderly constitute the majority of both colorectal cancer and surgical volume. Despite established safety and feasibility, laparoscopy may remain underutilized for colorectal cancer resections in the elderly. With proven benefits, increasing laparoscopy in elderly colorectal cancer pa...

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Veröffentlicht in:	Journal of gastrointestinal surgery 2021-03, Vol.25 (3), p.766-774
Hauptverfasser:	Keller, Deborah S, de Paula, Thais Reif, Qiu, Jiejing, Kiran, Ravi P
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Cancer surgery Colectomy Colonic Neoplasms Colorectal cancer Colorectal Neoplasms - surgery Gastroenterology Humans Laparoscopy Length of Stay Medicine Medicine & Public Health Middle Aged Minimally invasive surgery Older people Original Article Postoperative Complications - epidemiology Postoperative Complications - etiology Surgery Treatment Outcome Trends
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Zusammenfassung:	Background The elderly constitute the majority of both colorectal cancer and surgical volume. Despite established safety and feasibility, laparoscopy may remain underutilized for colorectal cancer resections in the elderly. With proven benefits, increasing laparoscopy in elderly colorectal cancer patients could substantially improve outcomes. Our goal was to evaluate utilization and outcomes for laparoscopic colorectal cancer surgery in the elderly. Methods A national inpatient database was reviewed for elective inpatient resections for colorectal cancer from 2010 to 2015. Patients were stratified into elderly (≥ 65 years) and non-elderly cohorts (
ISSN:	1091-255X 1873-4626
DOI:	10.1007/s11605-020-04517-6