Turkish Journal of Surgery

Turkish Journal of Surgery

ISSN: 2564-6850
e-ISSN: 2564-7032

 

Barış Gülcü , Tuncay Yılmazlar , Özgen Işık , Ersin Öztürk

Department of General Surgery, Uludag University School of Medicine, Bursa, Turkey

Keywords: Colorectal, morbidity, mortality, octogenarian, surgery

Abstract

Objectives: The incidence of colorectal cancer becomes higher among octogenarians as the life expectancy increases. Whether advanced age is a risk factor for colorectal surgery is a matter of debate. In the present study, the clinical results of octogenarians who underwent colorectal cancer surgery are discussed to find an answer to this question.
Material and Methods: Data of 63 octogenarians who were operated in a tertiary colorectal surgery department between January 1, 2010 and December 31, 2013 were reviewed retrospectively. Demographic data and preoperative, peroperative, and postoperative parameters were evaluated.
Results: Overall, 57.2% of the patients were men. The median age was 81 (80–89) years. Cancer was located at the right colon in 17.5%, left colon in 50.8%, and rectum in 31.7%. Eleven patients underwent emergency surgery (17.5%). The most common surgical procedure was low anterior resection in elective (22.2%) and Hartmann’s procedure in the emergency setting (9.5%). Stoma creation was more frequent among patients undergoing emergency procedures (42% vs. 6.8%; p=0.0018). Histopathological diagnosis was adenocarcinoma in 90.5% of the patients, and 34.9% of the patients had stage IIIB disease. Surgical morbidity was significantly higher among patients who underwent rectal resection (66% vs. 10.2%; p=0.0124). Medical morbidity was observed in 10 (15.9%) patients. Preoperative blood transfusion was a risk factor for morbidity (83.4% vs. 29.8%; p=0.0170). Length of total hospital stay was 14 (3–39) days. Surgical (p=0.0004) and medical (p=0.0288) morbidity prolonged the length of total hospital stay. The overall mortality rate was 1.6%.
Conclusion: Colorectal surgery may be safely performed in octogenarians with acceptable morbidity and mortality in specialized centers.

Cite this paper as: Gülcü B, Yılmazlar T, Işık Ö, Öztürk E. Colorectal cancer surgery in octogenarians. Turk J Surg 2018; 10.5152/turkjsurg.2018.4018.

This study was presented at the ‘’15th National Colon and Rectal Surgery Congress’’, ‘’May 19-23, 2015’’, ‘’Antalya, Turkey’’.

Ethics Committee Approval

Ethics committee approval was received for this study from the Ethics Committee of Uludag University School of Medicine.

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - B.G., T.Y.; Design - B.G., T.Y.; Supervision - E.Ö., T.Y.; Resource - B.G., Ö.I.; Materials - B.G., Ö.I., E.Ö.; Data Collection and/or Processing - B.G., Ö.I.; Analysis and/or Interpretation - B.G., Ö.I., E.Ö.; Literature Search - B.G., Ö.I.; Writing Manuscript - B.G., Ö.I., T.Y.; Critical Reviews - E.Ö., T.Y.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.