Outcome of Colorectal Surgery in Elderly Populations

• Published in: Annals of coloproctology Vol. 32; no. 4; pp. 139 - 143
• Main Authors: Shalaby, Mostafa, Di Lorenzo, Nicola, Franceschilli, Luana, Perrone, Federico, Angelucci, Giulio P, Quareisma, Silvia, Gaspari, Achille L, Sileri, Pierpaolo
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Coloproctology 01.08.2016; 대한대장항문학회
• Subjects: Original; 일반외과학; Aged; Colorectal neoplasms; Charlson Comorbidity Index; Colorectal surgery
• ISSN: 2287-9714; 2287-9722
• DOI: 10.3393/ac.2016.32.4.139

The aim of this study is to investigate the impact of age on short-term outcomes after colorectal surgery in terms of the 30-day postoperative morbidity and mortality rates. The subjects for the study were patients who had undergone colorectal surgery. Patients were divided into 2 groups according to age; groups A and B patients were ≥80 and <80 years old of age, respectively. Both groups were manually matched for body mass index, American Society of Anesthesiologists score, Charlson Comorbidity Index and procedure performed. A total of 200 patients, 91 men (45.5%) and 109 women (54.5%), were included in this retrospective study. These patients were equally divided into 2 groups. The mean ages were 85 years in group A (range, 80 to 104 years) and 55.3 years in group B (range, 13 to 79 years). The overall 30-day postoperative mortality rate was 1% of total 200 patients; both of these 2 patients were in group A. However, this observation had no statistical significance. No intraoperative complications were encountered in either group. The overall 30-day postoperative morbidity rate was 27% (54 of 200) for both groups. The 30-day postoperative morbidity rates in groups A and B were 28% (28 of 100) and 26% (26 of 100), respectively. However, these differences between the groups had no statistical significance importance. Age alone should not be considered to be more of a contraindication or a worse predictor than other factors for the outcome after colorectal surgery on elderly patients.