Surgical treatment of rectal cancer patients aged 80 years and older — A German nationwide analysis comparing short- and long-term survival after laparoscopic and open tumor resection
European Journal of Surgical Oncology May 13, 2019
Völkel V, et al. - Researchers compared rectal cancer patients aged ≥80 years undergoing laparoscopic vs open surgery regarding perioperative mortality and 5-year overall, disease-free, and relative survival. From 30 German regional cancer registries, they derived data of 1532 patients; 17.1% of these underwent laparoscopic procedures. Results suggest the laparoscopic approach as possibly beneficial for older rectal cancer patients in the short term and also no disadvantages of this approach are suggested in terms of long-term survival. As per the multivariable analysis, minimally invasive procedures are followed by a lower 30-day postoperative mortality risk. Therefore, they recommend considering laparoscopy as a standard procedure for older adults as well.
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