Tei Mitsuyoshi, Otsuka Masahisa, Suzuki Yozo, Kishi Kentaro, Tanemura Masahiro, Akamatsu Hiroki
Department of Surgery, Osaka Police Hospital, Tennoji-ku, Osaka City, Osaka, Japan.
Surg Laparosc Endosc Percutan Tech. 2018 Jun;28(3):164-169. doi: 10.1097/SLE.0000000000000524.
The aim of this study was to evaluate the clinical outcomes of single-port surgery for colon cancer in octogenarians.
A retrospective cohort study was performed on patients who underwent single-port surgery for colon cancer from 2010 to 2014 at a single institution. Patients were categorized into the following 3 groups according to age: ≤69 years (n=196), 70 to 79 years (n=143), and ≥80 years (n=86). Short-term and long-term outcomes were assessed among 3 groups.
The rate of overall postoperative complications in the octogenarian group did not differ significantly, compared with the other groups (20.9% in the octogenarians group vs. 14.3% in the ≤69 y group and 15.4% in the 70 to 79 y group, P=0.363). The 3-year relapse-free survival rates were similar among groups (83.9% in the octogenarians group vs. 87.8% in the ≤69 y group and 87.5% in the 70 to 79 y group, P=0.754). The 5-year overall survival rates were 79.8% in the octogenarians group, 89.9% in the ≤69 years group, and 81.7% in the 70 to 79 years group (P=0.063).
Single-port surgery is safe, feasible, and can provide satisfactory oncological outcomes in octogenarians with colon cancer.
本研究旨在评估老年结肠癌患者单孔手术的临床疗效。
对2010年至2014年在某单一机构接受结肠癌单孔手术的患者进行回顾性队列研究。根据年龄将患者分为以下3组：≤69岁（n = 196）、70至79岁（n = 143）和≥80岁（n = 86）。评估3组患者的短期和长期疗效。
与其他组相比，八旬老人组术后总体并发症发生率无显著差异（八旬老人组为20.9%，≤69岁组为14.3%，70至79岁组为15.4%，P = 0.363）。各组间3年无复发生存率相似（八旬老人组为83.9%，≤69岁组为87.8%，70至79岁组为87.5%，P = 0.754）。八旬老人组5年总生存率为79.8%，≤69岁组为89.9%，70至79岁组为81.7%（P = 0.063）。
单孔手术对于患有结肠癌的八旬老人来说是安全、可行的，并且可以提供令人满意的肿瘤学疗效。
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