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Rectal Cancer Surgery in Patients Older Than 80 Years: Is Hartmann's Procedure Safe?
Kenta Iguchi1, Hiroyuki Mushiake2, Seiji Hasegawa2
1Department of Surgery, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan igcknt0802@gmail.com.
Background/Aim:
The current study aimed to identify the safety and efficacy of Hartmann's procedure (HP) among elderly patients (age ≥80 years) with rectal cancer.
Patients And Methods:
Data on surgical outcome, survival rate, and incidence of stoma reversal were retrospectively compared between patients aged over 80 years who underwent anterior resection (AR) and HP.
Results:
In total, 79 elderly patients underwent rectal cancer surgery. Of these patients, 54 (68.4%) underwent AR and 25 (31.6%) HP. The two groups did not differ significantly in terms of age, nutrient status, and tumor characteristics. Eight (14.8%) patients who underwent AR and six (24.0%) who underwent HP presented with intra-abdominal complications (p=0.35). The overall survival and recurrent-free survival rates between the two groups did not differ.
Conclusion:
HP for elderly patients with rectal cancer has similar complication rates to AR, and achieved similar oncological outcomes.
