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2015 | 86 | 2 | 61-67
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Risk analysis for the surgical treatment of colorectal cancer in elderly patients undergoing scheduled and urgent interventions

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Due to recorded growth both in living standards and latest researches in medicine, proportion of people in old age has significantly improved all over the world. Although old age people are several percent of the entire society, number of surgeries within the group does not exceed 40%. Also risk of malignant neoplasms among old age people, significantly grows. Malignant neoplasm of colon appears to be most visible problem in group of people in age over 75 years old. The aim of the study was a retrospective analysis of results in treatment of the sick over 75 years old, suffering from Malignant neoplasm of colon. Therapy was performed in the I Unit of General Surgery and Surgical Oncology in Provinical Hospital in Jelenia Góra. Material and methods. Subject to analysis were 63 patients that went under operations in years from 2006 to 2010 due to the colorectal cancer, who have been divided now into two groups. First group included 49 patients treated as per schedule, and the second stood for 14, who required urgent treatment. Reference group has involved 20 younger patients, treated in urgent and scheduled courses, due to the colon cancer. There are no contradictions to emergencies and scheduled surgeries for patients in advanced years, suffering from colon cancer. Complications after colon cancer emergencies are far more frequent than in case of scheduled surgeries. Death rates among patients over 75 years old are far more frequent after emergencies than after scheduled surgeries. Concomitant diseases occur the same frequent during emergenices as during scheduled operations. During emergencies, it was left side of the colon that occured to be infected with cancer more frequent. Conclusions. There is no significant diversity in hospitalization time frames after emergencies and scheduled surgeries. Dangerous surgical complications within group of older patients, those after emergencies and scheduled surgeries too, are far more frequent in comparison to the reference group.
Physical description
1 - 02 - 2014
25 - 03 - 2014
  • 1st Department of General Surgery and Surgical Oncology, Provincal Hospital in Jelenia Góra
  • 2nd Department of General and Oncological Surgery, Medical University in Wrocław
  • 1. Główny Urząd Statystyczny. Rocznik Demograficzny. Zakład Wydawnictw Statystcznych. Warszawa 2010.
  • 2. Baltzer J: Tumorerkrankungen bei geriatrischen Patientinen. i 2005; 46: 406-11.
  • 3. Bundesministerium für Familie, Senioren, Frauen und Jugend. Schätzwerte auf der Grundlage der
  • 9. koordinierten Bevölkerungsvorausberechnung des Statistischen Bundesamtes (Variante 2) aus dem 4. Bericht zur Lage der älteren Generation.Berlin: Bundesministerium für Familie, Senioren, Frauen und Jugend. Berlin 2002.
  • 4. Chase M: Centenerian genes may unlock the secret of a long, robust life. Wall Street Journal 2000; s. 14.
  • 5. Hoskins M, Warner M, Lobdell C et al.: Outcoms of Surgery in Patients 90 Years of Age and Older.JAMA 1989; 261(13) : 1909-15.
  • 6. Reiss RD: Surgical Problems in Octogenarians: Epidemiological Analysis of 1083 Consecutive Admissions.World J Surg 1992; 16(5): 1017-21.
  • 7. Kamiński P: Rak jelita grubego u chorych w podeszłym wieku - leczenie chirurgiczne. Borgis- Postępy Nauk Med 2008; 11: 740-45.
  • 8. Gosney M: Clinical assessment of elderly people with cancer. Lancet Oncol 2005; 6: 790-97.[Crossref][PubMed]
  • 9. Landis S, Murray T, Bolden S et al.: Cancer statistics. CA Cancer J Clin 1999; 49: 8-31.[Crossref]
  • 10. Schuele S, Wojtyczka A, Hausschlidt J et al.: Onkologische Visceralchirurgie: Konflikt Lebensalter.Bremer Aerztejournal 2010; 10: 10-13.
  • 11. de Heer K, Rauchenberger B, Eggert A: Eine Analyse beeinflussbarer Faktoren in der Alterschirurgie.Langenbecks Archiv fuer Chirurgie 1977; s. 7-13.
  • 12. Markert R, Januszewski J: Porównanie przebiegu okresu pooperacyjnego u chorych w wieku powyżej 70 lat operowanych z powodu raka jelita grubego w okresie 1990-1994 oraz 2001-2002. Onkol Pol 2006; 9(3): 75-80.
  • 13. Celban G, Jabłonka Z, Solnica C: Niedrożność nowotworowa jelita grubego - czynniki decydujące o wczesnych wynikach leczenia. Wiad Lek 2005; 58 (3-4): 161-65.
  • 14. Fitzgerald S, Longo W, Daniel G: Advanced Colorectal Neoplasia in the High-Risk Eldery Patient: IS Surgical Resection Justified? Dis Colon Rectum 1993; 36: 161-66.[Crossref]
  • 15. Kirchgatterer A et al.: Colorectal cancer in geriatric patients: Endoscopic diagnosis and surgical treatment.World J Gastroentorol 2005; 11: 315-18.
  • 16. Krasnodębski IW, Kopeć D: Rak jelita grubego powyżej 80 roku życia - możliwości i wyniki leczenia.Proktologia 2001; 2: 21-32.
  • 17. Ong ES et al.: Colorectal cancer surgery in the elderly: acceptable morbidity? Am J Surg 2008; 195: 344-48.
  • 18. Marusch F et al.: The impact of the risk factor „Age” on the early postoperative results of surgery for colorectal carcinoma and its significance for perioperative management. World J Surg 2005; 29: 1013-22.[Crossref]
  • 19. Calabrese CT, Adam Y, Volk H: Geriatric Colon Cancer. Am J Surg 1973; 125: 181-84.[PubMed][Crossref]
  • 20. Irvin TT: Prognosis of colorectal cancer in the elderly. Br J Surg 1988; 75: 419-21.
  • 21. Kopeć D: Możliwości i wyniki chirurgicznego leczenia raka jelita grubego u chorych powyżej 70 roku życia. Częstochowa: Akademia Medyczna w Warszawie 1999.
  • 22. Ozogul Y, Ulas M, Ozer I et al.: Short-term outcomes after surgery for colorectal cancer in Turkish patients aged 70 and above. Turk J Gastroenterol 2010; 21(3): 257-61.
  • 23. Khan MR, Bari H, Zafar S et al.: Impact of age on outcome after colorectal cancer surgery in the elderly- a developing country perspective. BMC Surgery 2011; 11: 17.[WoS][Crossref]
  • 24. Coburn M, Pricolo V, Soderberg C: Factors affecting prognosis and managment of carcinoma of the colon and rectum in patients more than eighty years of age. J Am Coll Surg 1994; 179: 65-69.
  • 25. Maekelae J, Kiviniemi H, Laitinen S: Survival after operations for colorectal cancer in patients aged 75 years or over. Eur J Surg 2000; 166: 473-79.
  • 26. Mulcahy HE et al.: Prognosis of elderly patients with large bowel cancer. Br J Surg 1994; 81: 736-38.
  • 27. Cohen H, Willis IW: Surgical experience of colon resection in the extreme elderly. Am Surg 1986; 52(4): 214-17.[PubMed]
  • 28. Agarwal N, Leighton L, Mandile, MA et al.: Outcomes of Surgery for Colorectal Cancer in Patients Age 80 Years and Older. Am J Surg 1990; 85(9): 1096-1101.
  • 29. Spivak H, Maele DV, Friedman I et al.: Colorectal surgery in octogenarians. J Am Coll Surg 1996; 183: 46-50.
  • 30. Charlson M, Pompei P, Ales K et al.: A new method of classifying prognostic comorbidity in longitudinal studies: development and validation.J Chron Dis 1987; 40: 373-83. [Crossref]
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