Purpose: To assess the feasibility and safety of laparoscopic colorectal resection\namong octogenarians. Method: All patients who underwent laparoscopic\ncolorectal resection were identified from an IRB approved, prospectively\nmaintained laparoscopy database of a single surgeon, between the years\n2004-2010. The patients were classified into two subgroups, below and above\nthe age of 80 years (octogenarians and non octogenarians). Also, an additional\ngroup of patients, age above >80 years, who underwent open colon or rectal\nresection, was identified from the departmental database, while matching for\nage, gender, ASA score, type and indication (benign or malignant) for surgery.\nThe subgroups were compared for postoperative morbidity and recovery parameters.\nResults: Seventy four patients underwent laparoscopic colorectal resection\nprocedures by a single surgeon (20 octogenarian and 54 non-octogenarian\npatients). Mean age was 85.2 vs 62.1, respectively. Colon cancer was the most\ncommon indication for surgery in both groups of octogenarians. The Conversion\nrate was comparable between non and octogenarians. Postoperative\nmorbidity rate and length of hospital stay were significantly higher after open\nprocedures as compared to laparoscopic ones, in octogenarian and non octogenarian\npatients, 50% vs 15% vs 13%, p = 0.0001, and 12.4 vs 8.9 vs 7.6 days,\np = 0.01, respectively. Conclusions: Laparoscopic colorectal resection is feasible\nand safe in octogenarians.
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