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

Objectives To determine if laparoscopic colectomy is safer and more effective than open colectomy in patients older than 80 years of age. Methods An operating room database of all colectomies performed on patients ≥80 years, from January 2002 to September 2007, was analyzed retrospectively. Data rev...

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Veröffentlicht in:	Journal of surgical education 2010-05, Vol.67 (3), p.161-166
Hauptverfasser:	Kurian, Ashwin A., MD, Suryadevara, Sree, MD, Vaughn, David, MD, Zebley, D. Mark, MD, Hofmann, Mary, MT, MD, Kim, Soo, MD, Fassler, Steven A., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged, 80 and over Blood Loss, Surgical Colectomy - methods Colectomy - mortality Colonic Neoplasms - surgery Colonic Polyps - surgery Female Humans laparoscopic colectomy Laparoscopy - mortality Length of Stay Male Medical Knowledge nonagenarians octogenarians open colectomy Practice-based Learning and Improvement Retrospective Studies Surgery
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Beschreibung
Zusammenfassung:	Objectives To determine if laparoscopic colectomy is safer and more effective than open colectomy in patients older than 80 years of age. Methods An operating room database of all colectomies performed on patients ≥80 years, from January 2002 to September 2007, was analyzed retrospectively. Data reviewed included type of operation, type of resection, length of procedure, length of stay (LOS), estimated blood loss, American Society of Anesthesiologists (ASA) grade, diagnosis, complications, mortality rates, and discharge destination, with p-values
ISSN:	1931-7204 1878-7452
DOI:	10.1016/j.jsurg.2010.02.009