Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laparoscopically assisted colorectal surgery in the elderly.

B T Stewart1, R W Stitz, J W Lumley

  • 1Department of Colorectal Surgery, Royal Brisbane Hospital, Australia.

The British Journal of Surgery
|July 27, 1999
PubMed
Summary

Laparoscopic colorectal surgery is safe for elderly patients (80+ years), showing fewer complications, shorter hospital stays, and faster recovery than open surgery. This minimally invasive approach offers significant benefits for this age group.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

MUC13 protects colorectal cancer cells from death by activating the NF-κB pathway and is a potential therapeutic target.

Oncogene·2016
Same author

Assessment of risk of peripheral vascular disease and vascular care capacity in low- and middle-income countries.

The British journal of surgery·2015
Same author

Elevated CDCP1 predicts poor patient outcome and mediates ovarian clear cell carcinoma by promoting tumor spheroid formation, cell migration and chemoresistance.

Oncogene·2015
Same author

EGF inhibits constitutive internalization and palmitoylation-dependent degradation of membrane-spanning procancer CDCP1 promoting its availability on the cell surface.

Oncogene·2014
Same author

The ideal ileal-pouch design: a long-term randomized control trial of J- vs W-pouch construction.

Diseases of the colon and rectum·2012
Same author

Surgical outcomes in steroid refractory acute severe ulcerative colitis: the impact of rescue therapy.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2012

Area of Science:

  • Geriatric Surgery
  • Minimally Invasive Surgery
  • Colorectal Surgery

Background:

  • Open colorectal surgery in elderly patients is linked to higher morbidity and mortality.
  • Elderly patients undergoing open surgery often experience longer hospital stays and prolonged rehabilitation.
  • Laparoscopic surgery offers a less invasive alternative, potentially reducing convalescence periods.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopically assisted colorectal surgery in patients aged 80 years and older.
  • To compare outcomes of laparoscopic colorectal surgery with traditional open surgery in the elderly population.

Main Methods:

  • Prospective comparative study of elective laparoscopic or open colorectal procedures in patients aged 80+.
  • Exclusion of patients undergoing simple stoma formation.

Related Experiment Videos

  • Analysis of perioperative care, operative results, and subsequent patient function.

    • Main Results:

    • 42 patients in the laparoscopic group, 35 in the open group; median age 84.
    • Laparoscopic group: 5 conversions to open, 3 deaths, 7 morbidities, 9-day median hospital stay.
    • Open group: 4 deaths, 15 morbidities, 17-day median hospital stay.
    • At 4 weeks, 30/35 laparoscopic survivors and 16/28 open survivors returned to preoperative activity levels.

    Conclusions:

    • Laparoscopically assisted colorectal surgery is safe for elderly patients (80+).
    • Associated with low complication rates, shorter hospitalizations, and quicker return to activity compared to open surgery.
    • Minimally invasive approach demonstrates significant advantages for colorectal procedures in this demographic.