title: [The Outcomes of Laparoscopy-Assisted Surgery in Elderly Patients with Colorectal Carcinoma].
abstract: OBJECTIVE
  To evaluate short-term outcomes of laparoscopy-assisted colectomy (LAC) in elderly patients with colorectal carcinoma.
  
  
  METHODS
  A total of 289 colorectal cancer patients underwent LAC between 2008 and 2013. They were divided into an elderly group (<80 years of age, group E), and a younger group (<80 years of age, group Y). The treatment results, including the surgery-related factors, the perioperative course, and the pre- and postoperative complications, were retrospectively analyzed.
  
  
  RESULTS
  There were 49 patients in group E, and 240 patients in group Y. There was no significant difference between the 2 groups considering the operative time, blood loss, rate of transfusion, post-operative hospital stay, rate of conversion to open surgery, or rate of complications, except for the number of patients with an ASA classification of greater than Grade 2 and the degree of lymph node dissection.
  
  
  CONCLUSIONS
  LAC in elderly patients was found to be relatively safe because it was associated with a reduction in damage to the abdominal wall, and with an early recovery from surgery. These results suggest that the indications of LAC could be expanded for elderly patients.
authors.affiliation: The AELIC Center, Fujisawa Shounandai Hospital.
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Fujikawa
authors.forename: Seiji
authors.initials: S
authors.lastname: Hasegawa
authors.forename: Yuuki
authors.initials: Y
authors.lastname: Doi
authors.forename: Taisuke
authors.initials: T
authors.lastname: Shibuya
authors.forename: Koichi
authors.initials: K
authors.lastname: Mori
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Yabushita
authors.forename: Yo
authors.initials: Y
authors.lastname: Mikayama
authors.forename: Takuo
authors.initials: T
authors.lastname: Watanabe
authors.forename: Kazuhito
authors.initials: K
authors.lastname: Tsuchida
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Murakami
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Mushiake
authors.forename: Tadao
authors.initials: T
authors.lastname: Fukushima
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Ike
authors.forename: Toshio
authors.initials: T
authors.lastname: Imada
authors.forename: Munetaka
authors.initials: M
authors.lastname: Masuda
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D003082:Colectomy / Q000379:methods; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome