Laparoscopic vs. Open Colectomies in Octogenarians: A Case-Matched Control Study

PURPOSE: METHODS: RESULTS:Mean (standard deviation) age was 82.3 (3.5) years in the laparoscopy group and 83.1 (3.3) years in the open group. Conversion rate was 6.1 percent. Operative time was 49 minutes longer in the laparoscopy group (P = 0.001 ). The overall mortality rate was 2.4 percent. The m...

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Veröffentlicht in:	Diseases of the colon & rectum 2005-11, Vol.48 (11), p.2070-2075
Hauptverfasser:	Vignali, Andrea, Di Palo, Saverio, Tamburini, Andrea, Radaelli, Giovanni, Orsenigo, Elena, Staudacher, Carlo
Format:	Artikel
Sprache:	eng
Schlagworte:	Activities of Daily Living Age Factors Aged Aged, 80 and over Colectomy - adverse effects Colonic Neoplasms - surgery Female Follow-Up Studies Humans Laparoscopy Male Recovery of Function Retrospective Studies Treatment Outcome
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Zusammenfassung:	PURPOSE: METHODS: RESULTS:Mean (standard deviation) age was 82.3 (3.5) years in the laparoscopy group and 83.1 (3.3) years in the open group. Conversion rate was 6.1 percent. Operative time was 49 minutes longer in the laparoscopy group (P = 0.001 ). The overall mortality rate was 2.4 percent. The morbidity rate was 21.5 percent in the laparoscopy group and 31.1 percent in the open group (P = 0.30). Patients in the laparoscopy group had a faster recovery of bowel function (P = 0.01) and a significant reduction of the mean length of hospital stay (9.8 vs. 12.9 days for the open group, P = 0.001). Laparoscopy allowed a better preservation of postoperative independence status compared with the that of the open group (P = 0.02). CONCLUSION:
ISSN:	0012-3706 1530-0358
DOI:	10.1007/s10350-005-0147-0