高齢者大腸癌患者に対する腹腔鏡手術と開腹手術における術後短期成績の比較検討

杉下 哲夫; 岡崎 聡; 加藤 俊介; 笠井 俊輔; 高橋 英徳; 大司 俊郎; 嘉和知 靖之

doi:10.3862/jcoloproctology.73.1

Original Article

Short-term Outcomes of Laparoscopic-assisted Colorectomy Compared with Open Colorectomy in Elderly Patients with Colorectal Cancer

Tetsuo Sugishita, Satoshi Okazaki, Shunsuke Kato, Shunsuke Kasai, Hidenori Takahashi, Shunrou Ootsukasa, Yasuyuki Kawachi

Author information

Keywords: Elderly patient, Colorectal cancer, Laparoscopic surgery, Open surgery, Short-term outcome

JOURNAL FREE ACCESS

2020 Volume 73 Issue 1 Pages 1-7

DOI https://doi.org/10.3862/jcoloproctology.73.1

Details

Abstract

[Objective] The aim of this study was to confirm the safety and economic benefits of laparoscopic-assisted colorectomy (LAC) in elderly patients with colorectal cancer.

[Methods] This propensity score-matched case-control study assessed patients aged ≥80 years with clinical stage I-III colorectal cancer over a 6-year period. The short-term outcomes of LAC and open colorectomy (OC) were compared.

[Results] Hospitalization was shorter (8 vs. 9 days), whereas freedom from complications (74.5% vs. 48.9%) and cost of hospitalization (441,194 vs. 476,410 yen) were better in the LAC than in the OC group.

[Conclusion] The short-term outcomes of colorectal cancer with low invasiveness were better with LAC than with OC.

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