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Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases
Joint Authors
Rosati, Riccardo
Milone, Marco
Elmore, Ugo
Vignali, Andrea
Mellano, Alfredo
Gennarelli, Nicola
Manigrasso, Michele
Milone, Francesco
De Palma, Giovanni Domenico
Muratore, Andrea
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-22
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aim.
To evaluate the impact of open or laparoscopic rectal surgery on pulmonary complications in elderly (>75 years old) patients.
Methods.
Data from consecutive patients who underwent elective laparoscopic or open rectal surgery for cancer were collected prospectively from 3 institutions.
Pulmonary complications were defined according to the ACS/NSQUIP definition.
Results.
A total of 477 patients (laparoscopic group: 242, open group: 235) were included in the analysis.
Postoperative pulmonary complications were significantly more common after open surgery (8 out of 242 patients (3.3%) versus 23 out of 235 patients (9.8%); p=0.005).
In addition, PPC occurrence was associated with the increasing of postoperative pain (5.04 ± 1.62 versus 5.03 ± 1.58; p=0.001) and the increasing of operative time (270.06 ± 51.49 versus 237.37 ± 65.97; p=0.001).
Conclusion.
Our results are encouraging to consider laparoscopic surgery a safety and effective way to treat rectal cancer in elderly patients, highlighting that laparoscopic surgery reduces the occurrence of postoperative pulmonary complications.
American Psychological Association (APA)
Milone, Marco& Elmore, Ugo& Vignali, Andrea& Mellano, Alfredo& Gennarelli, Nicola& Manigrasso, Michele…[et al.]. 2017. Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1156490
Modern Language Association (MLA)
Milone, Marco…[et al.]. Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases. Gastroenterology Research and Practice No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1156490
American Medical Association (AMA)
Milone, Marco& Elmore, Ugo& Vignali, Andrea& Mellano, Alfredo& Gennarelli, Nicola& Manigrasso, Michele…[et al.]. Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1156490
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156490