Rectal cancer surgery in the elderly: analysis of consecutive 158 patients with stage III rectal cancer.

Rectal cancer surgery in the elderly: analysis of consecutive 158 patients with stage III rectal cancer. Research Abstract Details 

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Rectal cancer surgery in the elderly: analysis of consecutive 158 patients with stage III rectal cancer. Abstract Text:

Tsukasa Hotta,Katsunari Takifuji,Shozo Yokoyama,Kenji Matsuda,Takashi Higashiguchi,Toshiji Tominaga,Yoshimasa Oku,Toru Nasu,Hiroki Yamaue,

BACKGROUND: It is difficult to establish a clear-cut indication for rectal surgery in elderly patients because of greater risk. We tried to clarify the factors associated with the short-term and long-term outcomes between elderly and younger patients. MATERIALS AND METHODS: We clarified the potential predictors of the cancer-related and disease-free survivals after surgery, the factors associated with the elderly, preoperative comorbid conditions, and postoperative complications in 158 patients with stage III rectal cancer who underwent surgery, including 33 elderly patients (>/=75 years) and 125 younger patients (<75 years). RESULTS: An old age and macroscopic types 3 and 4 were independent poor prognostic factors of cancer-related survival, whereas the disease-free survival of the younger patients was not longer than for the elderly patients. Interestingly, the survival rate in the elderly patients with recurrence was shorter than that in the younger patients. Histopathological type except well differentiated and without chemotherapy were significant tumor characteristics associated with the elderly patients. On preoperative comorbid conditions, elderly patients have more cardiovascular diseases than younger patients, whereas there were no significant differences in the postoperative complications. CONCLUSION: Strength of the adjuvant and intensive therapies after recurrence may contribute to gain long-term survival in the elderly rectal cancer patients.

Rectal cancer surgery in the elderly: analysis of consecutive 158 patients with stage III rectal cancer. Publishing Authors By Initials

T Hotta,K Takifuji,S Yokoyama,K Matsuda,T Higashiguchi,T Tominaga,Y Oku,T Nasu,H Yamaue,

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Rectal cancer surgery in the elderly: analysis of consecutive 158 patients with stage III rectal cancer. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Langenbeck's archives of surgery / Deutsche Gesell

VOLUME: 392

Page Numbers: 549-58

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ISSN: 1435-2443

DAY: 26

MONTH: 06

YEAR: 2007

Rectal cancer surgery in the elderly: analysis of consecutive 158 patients with stage III rectal cancer. Information

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LANGUAGE: eng

NlmUniqueID: 9808285

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AFFILIATION: Second Department of Surgery, Wakayama Medical University, School of Medicine, 811-1, Kimiidera, Wakayama, 641-8510, Japan, yamaue-h@wakayama-med.ac.jp.

Country: Germany

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MEDLINETA: Langenbecks Arch Surg

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