Feasibility of surgical treatment in octogenarian patients
               with colorectal cancer

Oliveira, Fábio Henrique de; Lacerda Filho, Antônio; Queiroz, Fábio Lopes de; Lamounier, Paulo César de Carvalho; Castilho, Bruno Alcântara de; Rabelo, Fernanda Elias Ferreira; Martins, Breno Xaia; Oliveira, Klaus Rodrigues de

doi:10.1016/j.jcol.2013.07.001

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Brasil

Journal of Coloproctology (Rio de Janeiro)

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Brasil

Español English

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Sumário

Original Articles • J. Coloproctol. (Rio J.) 33 (03) • Sept 2013 • https://doi.org/10.1016/j.jcol.2013.07.001 copy

Feasibility of surgical treatment in octogenarian patients with colorectal cancer

Viabilidade do tratamento cirúrgico em pacientes octagenários portadores de câncer colorretal

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

this study aims to compare the profile of octogenarian individuals with colorectal cancer and those younger than 80 years of age regarding gender distribution, mean age of patients, length of hospital stay, type of surgery performed and postoperative complications.

METHODS:

this study was carried out at the Coloproctology Department of Hospital Felicio Rocho, Belo Horizonte, state of Minas Gerais, Brazil. We evaluated 438 patients with colorectal cancer undergoing curative surgery as disease treatment. Data was collected using specific guidelines established by the health care team during a clinical meeting. This is a descriptive and retrospective study that compared the profile of 52 octogenarian patients (Group I) and 386 patients younger than 80 years (Group II).

RESULTS:

the female gender predominated in group I with 69%, whereas the distribution between genders was similar in group II, with 50.3% of women. Mean age in group I was 84.5 years. The mean hospital stay was 8.25 days for patients younger than 80 years and 9.3 for the octogenarians. Group I had a complication rate of 28.84%, while in Group II it was 22.02%.

CONCLUSION:

age older than 80 years does not contraindicate colorectal surgery.

Surgery; Colorectal cancer; Elderly

Type of surgery	> 80 years	< 80 years	Total
Total mesorectal excision	8	54	62
	15%	14%
Coloanal anastomosis	0	10	10
	--	2,75%
Low anterior resection	0	13	13
	--	3%
High anterior resection	10	47	57
	19%	12%
Anterior resection with stapler	2	41	43
	4%	11%
Abdominoperineal amputation	3	29	32
	6%	7%
Endoanal pull-through	0	1	1
	--	0,25%
Right colectomy	20	96	116
	39%	25%
Left colectomy	9	53	62
	17%	14%
Total colectomy	0	18	18
		4%
Colostomy	--	0	0
Ileostomy	--	3	3
		1%
Others	--	21	21
		6%

	Postoperative complications
Group I	30.95%
Group II	19.62%
	p = 0.23

	Age < 80 years			Age > 80 years			P value
	n	%	Total	n	%	Total	P value
Ileum	23	6.0%	386	3	5.8%	52	0.956
Sepsis	17	4.4%	386	4	7.7%	52	0.392
Wall abscess	15	3.9%	386	0	0.0%	52	0.000
Neurogenic bladder	6	1.6%	386	0	0.0%	52	0.014
Peritonitis	6	1.6%	386	0	0.0%	52	0.014
Fistula	11	2.8%	386	0	0.0%	52	0.001
SIRS	8	2.1%	386	1	1.9%	52	0.942
Intra-abdominal abscess	4	1.0%	386	0	0.0%	52	0.044
Pneumonia	3	0.8%	386	3	5.8%	52	0.126
Evisceration	3	0.8%	386	0	0.0%	52	0.082
Atrial fibrillation	2	0.5%	386	2	3.8%	52	0.216
Urinary fistula	2	0.5%	386	0	0.0%	52	0.156
Atelectasis	2	0.5%	386	1	1.9%	52	0.469
AMI	1	0.3%	386	1	1.9%	52	0.387
Hematoma	1	0.3%	386	0	0.0%	52	0.317
Vomiting	2	0.5%	386	0	0.0%	52	0.156
Ischemia	4	1.0%	386	1	1.9%	52	0.653
Anal bleeding	1	0.3%	386	0	0.0%	52	0.317
Perineal dehiscence	1	0.3%	386	0	0.0%	52	0.317
Hypertensive crisis	2	0.5%	386	0	0.0%	52	0.156
PTE	1	0.3%	386	0	0.0%	52	0.317
Hypovolemia	0	0.0%	386	2	3.8%	52	0.149
Phlebitis	0	0.0%	386	1	1.9%	52	0.313
UTI	0	0.0%	386	1	1.9%	52	0.313
ARF	0	0.0%	386	1	1.9%	52	0.313

Sociedade Brasileira de Coloproctologia Av. Marechal Câmara, 160/916, 20020-080 Rio de Janeiro/RJ Brasil, Tel.: (55 21) 2240-8927, Fax: (55 21) 2220-5803 - Rio de Janeiro - RJ - Brazil
E-mail: sbcp@sbcp.org.br

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[1] * Corresponding author. E-mail: fabiorvlcg2@gmail.com (F.H. Oliveira)