Artículo de revista
Resultados precoces de la cirugía electiva del cáncer de colon en mayores de 75 años
Fecha
2012-02Registro en:
Rev. Chilena de Cirugía. Vol 64 - Nº 1, Febrero 2012; pág. 63-67
0379-3893
Autor
Barrera Escobar, Alejandro
Bannura Cumsille, Guillermo
Illanes F., Felipe
Esperguel G., Carlos
Melo L., Carlos
Institución
Resumen
Background: Colon cancer is more common in older people, who can behave differently than their younger counterparts after colorectal surgery. Aim: To report the early results of surgery for colorectal cancer among patients aged 75 years or more. Material and Methods: Prospective analysis of 161 patients whose age ranged from 75 to 92 years (61% females), operated for a colorectal cancer between 1991 and 2010. Results: Sixty six percent of patients had tumors located in the right colon. Karnofsky index was below 70% in 75 of participants. Sixty seven patients (38%) had one or more postoperative complication. The rate of anastomosis dehiscence was 2%. Mean hospital stay was 10 days. One patient died. Conclusions: Colorectal surgery can be safely performed in subjects older than 75 years, provided that an adequate preoperative assessment is performed and patients are carefully selected.