Outcome of right colectomy for cancer in octogenarians

Anne J. Gurevitch, Baruch Davidovitch, Hanoch Kashtan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Colorectal cancer is one of the commonest malignancies in the elderly and, as such, is a major cause of morbidity and mortality. There is no consensus yet if age itself is a risk factor for adverse outcome after colectomy. The aims of the study were to evaluate the impact of age on operative results of right colectomy for cancer and to define factors that influence the postoperative mortality in octogenarians. Data of all patients who underwent right colectomy for colon cancer between January 2001 and December 2006 were collected retrospectively. Patients were divided into two groups: those who were 80 years and older and those who were less than 80 years old. Analysis included patients' demographics, comorbidities, American Society of Anesthesiologists class, functional status, mode of presentation, stage of disease, length of hospital stay, postoperative morbidity, and mortality. A total of 124 consecutive patients with right colon cancer were operated. Control group included 84 patients less than 80 year old. Study group included 40 patients 80 years or older. In Cox multivariate regression analysis, poor functional status and emergent surgery were independent factors for postoperative mortality. There was no significant difference in the outcome of elective right colectomy between elderly patients and their younger counterparts. Operative mortality of emergency surgery was significantly higher in octogenarians. Emergent setting and poor functional status are major risk factors for postoperative mortality.

Original languageEnglish
Pages (from-to)100-104
Number of pages5
JournalJournal of Gastrointestinal Surgery
Volume13
Issue number1
DOIs
StatePublished - Jan 2009
Externally publishedYes

Keywords

  • Colorectal cancer
  • Elderly
  • Mortality
  • Octogenarians
  • Right colectomy

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