Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases
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. Pulmon...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/5893890 |
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| author | Marco Milone Ugo Elmore Andrea Vignali Alfredo Mellano Nicola Gennarelli Michele Manigrasso Francesco Milone Giovanni Domenico De Palma Andrea Muratore Riccardo Rosati |
| author_facet | Marco Milone Ugo Elmore Andrea Vignali Alfredo Mellano Nicola Gennarelli Michele Manigrasso Francesco Milone Giovanni Domenico De Palma Andrea Muratore Riccardo Rosati |
| author_sort | Marco Milone |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-cf6bbe32db4e402f857b7df0cf707e28 |
| institution | DOAJ |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-cf6bbe32db4e402f857b7df0cf707e282025-08-20T03:23:43ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/58938905893890Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive CasesMarco Milone0Ugo Elmore1Andrea Vignali2Alfredo Mellano3Nicola Gennarelli4Michele Manigrasso5Francesco Milone6Giovanni Domenico De Palma7Andrea Muratore8Riccardo Rosati9Department of Surgical Specialities and Nephrology, University of Naples “Federico II”, Naples, ItalyDepartment of Gastrointestinal Surgery, San Raffaele Hospital, Milan, ItalyDepartment of Gastrointestinal Surgery, San Raffaele Hospital, Milan, ItalyDepartment of Surgical Oncology, Candiolo Cancer Institute-FPO IRCCS, Candiolo, Turin, ItalyDepartment of Surgical Specialities and Nephrology, University of Naples “Federico II”, Naples, ItalyDepartment of Surgical Specialities and Nephrology, University of Naples “Federico II”, Naples, ItalyDepartment of Surgical Specialities and Nephrology, University of Naples “Federico II”, Naples, ItalyDepartment of Surgical Specialities and Nephrology, University of Naples “Federico II”, Naples, ItalyDepartment of Surgical Oncology, Candiolo Cancer Institute-FPO IRCCS, Candiolo, Turin, ItalyDepartment of Gastrointestinal Surgery, San Raffaele Hospital, Milan, ItalyAim. 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.http://dx.doi.org/10.1155/2017/5893890 |
| spellingShingle | Marco Milone Ugo Elmore Andrea Vignali Alfredo Mellano Nicola Gennarelli Michele Manigrasso Francesco Milone Giovanni Domenico De Palma Andrea Muratore Riccardo Rosati 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 |
| title | Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases |
| title_full | Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases |
| title_fullStr | Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases |
| title_full_unstemmed | Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases |
| title_short | Pulmonary Complications after Surgery for Rectal Cancer in Elderly Patients: Evaluation of Laparoscopic versus Open Approach from a Multicenter Study on 477 Consecutive Cases |
| title_sort | pulmonary complications after surgery for rectal cancer in elderly patients evaluation of laparoscopic versus open approach from a multicenter study on 477 consecutive cases |
| url | http://dx.doi.org/10.1155/2017/5893890 |
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