Khalilov Z B, Kalinichenko A Yu, Azimov R Kh, Chinikov M A, Panteleeva I S, Kurbanov F S
Central Hospital of Baku, Azerbaijan Republic.
Department of Hospital Surgery with the course of pediatric surgery, Russian Peoples' Friendship University, Central Clinical Hospital of RAS, Moscow, Russia.
Khirurgiia (Mosk). 2018(3):76-81. doi: 10.17116/hirurgia2018376-81.
To evaluate the role of laparoscopic surgery for colorectal cancer in advanced age patients.
290 patients with colorectal cancer were enrolled including 121 patients with rectal cancer and 169 patients with colon cancer. Main group consisted of 171 patients over 60 years old, control group - 119 patients younger 60 years old.
Radical advanced procedures on different parts of colon including laparoscopic approach were performed in the majority of advanced age patients. Outcomes were considered as good, we did not notice serious complications (5.4% after rectal surgery, 3.9% after colon surgery). Differences were not significant compared with younger patients including laparoscopic interventions for emergency indications. Nevertheless, surgical treatment of advanced age patients with colorectal cancer makes special demands for equipping of the clinic and physicians' qualification.
Advanced age is not a serious limitation in choice of laparoscopic access in both elective and emergency surgery in patients with colorectal cancer.
评估腹腔镜手术在老年结直肠癌患者中的作用。
纳入290例结直肠癌患者，其中直肠癌患者121例，结肠癌患者169例。主要组由171例60岁以上患者组成，对照组为119例60岁以下患者。
大多数老年患者对结肠不同部位进行了包括腹腔镜入路在内的根治性晚期手术。结果良好，未发现严重并发症（直肠手术后为5.4%，结肠手术后为3.9%）。与年轻患者相比，差异不显著，包括急诊指征的腹腔镜干预。然而，老年结直肠癌患者的手术治疗对临床设备配备和医生资质有特殊要求。
在结直肠癌患者的择期和急诊手术中，高龄并非选择腹腔镜入路的严重限制因素。
