SNFGE SNFGE
 
Thématique :
- Cancers autres (hors CCR et CHC)
Originalité :
Réexamen
Solidité :
Très solide
Doit faire évoluer notre pratique :
Immédiatement
 
 
Nom du veilleur :
Professeur Sylvain MANFREDI
Coup de coeur :
 
 
Digestive and Liver Disease
  2017/05  
 
  2017 May;49(5):562-567.  
  doi: 10.1016/j.dld.2016.12.014  
 
  Effects of age after laparoscopic right colectomy for cancer: Are there any specific outcomes?  
 
  Denet C, Fuks D, Cocco F, Chopinet S, Abbas M, Costea C, Levard H, Perniceni T, Gayet B  
  https://www.ncbi.nlm.nih.gov/pubmed/?term=Effects+of+age+after+laparoscopic+right+colectomy+for+cancer%3A+Are+there+any+specific+outcomes%3F  
 
 

Abstract

BACKGROUND:

Laparoscopic approach in colorectal surgery has demonstrated to give advantages in terms of postoperative outcomes, particularly in high-risk patients. The aim was to assess the impact of patients' age on the short-term outcomes after laparoscopic rightcolectomy for cancer.

METHODS:

From January 2004 to September 2014, all patients who underwent laparoscopic right colectomy for cancer in a single institution were divided into four groups (A: <64 years; B: 65-74 years; C: 75-84 years; D ≥85 years). Risk factors for postoperative complications were determined on multivariable analysis.

RESULTS:

Laparoscopic right colectomy was performed in 507 patients, including 171 (33.7%) in A, 168 (33.1%) in B, 131 (25.8) in C and 37 (7.4%) in D. Patients in Group C and Group D had higher ASA score (p<0.0001) and presented more frequently with anaemia (20.6% and 29.7%, p=0.001). Stages III and IV were more frequently encountered in groups C and D. Overall morbidity was 27.5% without any difference in the four groups (24.5%, 29.1%, 7.5% and 18.4% respectively, p=0.58). The rate of minor complications (such as wound infection or postoperative ileus) was higher in Group D compared to other groups (p=0.05). The only independent variable correlated with postoperative morbidity was intraoperative blood transfusion (OR 2.82; CI 95% 1.05-4.59, p<0.0001).

CONCLUSIONS:

The present series suggests that patient's age did not significantly jeopardize the postoperative outcomes after laparoscopicright colectomy for cancer.

 
Question posée
 
Etude de l’effet à court terme de la colectomie droite coelioscopique en fonction de l’âge.
 
Question posée
 
Pas d’effet âge.
 
Commentaires

Etude monocentrique rétrospective.

 
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