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Related Experiment Videos

Abdominal colon and rectal operations in the elderly.

W E Wise1, A Padmanabhan, D M Meesig

  • 1Division of Colon and Rectal Surgery, Grant Medical Center, Columbus, Ohio.

Diseases of the Colon and Rectum
|November 11, 1991
PubMed
Summary

Elderly patients aged 80+ undergoing colon and rectal surgery demonstrate acceptable outcomes. Age should not prevent surgical intervention for these critical conditions.

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Area of Science:

  • Colorectal Surgery
  • Geriatric Surgery
  • Surgical Oncology

Background:

  • Colon and rectal disorders frequently affect elderly patients.
  • Surgical intervention in patients aged 80 and above presents unique challenges.
  • Previous literature on outcomes for this demographic is limited.

Purpose of the Study:

  • To evaluate the safety and efficacy of abdominal operations for colon and rectal disorders in patients aged 80 years or older.
  • To assess morbidity, mortality, and functional outcomes in this elderly surgical cohort.
  • To determine if advanced age is a contraindication for surgical management of colorectal conditions.

Main Methods:

  • Retrospective review of 67 abdominal operations performed on 56 patients aged 80+ between 1984 and 1989.

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  • Analysis of patient demographics, surgical procedures (segmental colectomy, low anterior resection, etc.), American Society of Anesthesiologists (ASA) classification, and monitoring methods.
  • Evaluation of operative mortality, postoperative complications, hospital stay, and discharge disposition.

    • Main Results:

    • 45 patients (80%) were operated on for carcinoma.
    • Operative mortality was 7% (4 patients), with causes including carcinomatosis, myocardial infarction, and multisystem organ failure.
    • 27 operations had no postoperative complications; 18 had a single minor complication. Average hospital stay was 18.96 days.

    Conclusions:

    • Elderly patients (80+) with colon and rectal disorders can undergo surgical procedures with acceptable morbidity and mortality rates.
    • Advanced age should not be a barrier to surgical therapy for colorectal conditions.
    • Careful patient selection and management, including intensive care monitoring, contribute to favorable outcomes.