Park Chan Hee, Baek Seong Kyu, Bae Ok Suk, Jeong Woon Kyung
Department of Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
Ann Surg Treat Res. 2015 Oct;89(4):183-9. doi: 10.4174/astr.2015.89.4.183. Epub 2015 Sep 25.
In some patients more than 70 years of age with obstructive colorectal cancer, their concerns about the postoperative complications lead them to refuse surgery after the insertion of a stent. This study aimed to compare the postoperative outcomes between obstructive colorectal cancer patients aged less than 70 years and those aged 70 years and more who underwent surgery after the insertion of a colonoscopic stent.
Patients with obstructive colorectal cancer who underwent surgery after the insertion of a colonoscopic stent between March 2004 and March 2014 were reviewed retrospectively by using medical records. The patients were divided into two groups: 22 patients were aged less than 70 years (group A) and 30 patients were aged more than 70 years (group B).
Although no significant difference in comorbidity was noted between the two groups, the American Society of Anesthesiologists (ASA) score was higher in group B. There was no significant difference in cancer location, stage, or the time from the insertion of the stent to operation. The perioperative results including operation time, blood loss, and length of stay were not significantly different between the groups. The postoperative complications were also not significantly different.
The surgical outcomes of elderly patients were similar to those of younger patients, despite higher ASA scores. These results indicate that surgery can be performed safely in elderly patients with obstructive colorectal cancer after the insertion of a stent.
在一些70岁以上的梗阻性结直肠癌患者中，他们对术后并发症的担忧导致他们在插入支架后拒绝手术。本研究旨在比较年龄小于70岁的梗阻性结直肠癌患者与70岁及以上在插入结肠镜支架后接受手术的患者的术后结果。
回顾性分析2004年3月至2014年3月间在插入结肠镜支架后接受手术的梗阻性结直肠癌患者的病历。患者分为两组：22例年龄小于70岁（A组），30例年龄大于70岁（B组）。
虽然两组之间在合并症方面未发现显著差异，但B组的美国麻醉医师协会（ASA）评分更高。在癌症位置、分期或从插入支架到手术的时间方面没有显著差异。围手术期结果，包括手术时间、失血量和住院时间，两组之间无显著差异。术后并发症也无显著差异。
尽管ASA评分较高，但老年患者的手术结果与年轻患者相似。这些结果表明，梗阻性结直肠癌老年患者在插入支架后可以安全地进行手术。
