Surgical treatment strategy for elderly colorectal cancer patients

VernacularTitle:80岁以上结直肠癌65例的外科治疗
Author: Yifan PENG ; Jin GU
Publication Type:Journal Article
Keywords: Coloreetal neoplasms; Aged,80 and over; Surgical procedures,operative; Prognosis
From: Chinese Journal of General Surgery 2009;24(2):106-110
CountryChina
Language:Chinese
Abstract: Objective To study the surgical treatment strategy for elderly(aged at 80 years or over)colorectal cancer patients.Methods There were 65 cases of colorectal cancer undergoing Surgical treatment in Beijing Cancer Hospital from 1999 to 2006,and results were analyzed retrospectively.Results In this group of patients.the postoperative morbidity was 53.8%,but anastomotic leakage rate was only 3.9%,operative mortality was 1.5%.Postoperative 1-,3-and 5-year survival rate was 78.92%,27.79%,and 16.32%respectively.Kaplan-meier analysis and Cox regression analysis showed that:the TNM stage of the tumor and preoperative hemoglobin and WBC level were independent prognostic factors,but patients' age,gender,preoperative serum level of CEA and albumin,tumor differentiation,tumor size were not independent prognosis factors.Conclusion Elderly CRC patients have a higher risk of surgical treatment.But with the improvement of perioperative management,the anastomotic fistula and mortality rate were not increased significantly and the result is satisfactory.