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Abdominoperineal resection in the octogenarian
Journal of the American Geriatrics Society
|August 1, 1978
Summary
Abdominoperineal resection is a viable treatment for elderly patients with anorectal carcinoma. Careful patient selection and meticulous surgical technique are crucial for successful outcomes in patients aged 80 and older.
Area of Science:
- Colorectal Surgery
- Geriatric Oncology
- Surgical Oncology
Background:
- Anorectal carcinoma treatment in elderly patients presents unique challenges.
- Abdominoperineal resection (APR) is a traditional surgical approach for this condition.
Purpose of the Study:
- To review the outcomes of APR in patients aged 80 and older.
- To evaluate the safety and efficacy of APR in a geriatric population.
Main Methods:
- Retrospective review of 52 patients aged 80+ undergoing APR for anorectal carcinoma.
- Analysis of patient demographics, symptoms, surgical outcomes, complications, and survival.
Main Results:
- High in-hospital mortality (23%) and significant postoperative complications (32%) were observed.
- Lethal complications were primarily linked to surgical technique.
- Median survival for discharged patients was 22 months, with deaths due to recurrence or other causes.
Conclusions:
- APR can be an acceptable treatment for anorectal carcinoma in the very elderly.
- Meticulous surgical technique and careful patient selection are paramount for minimizing risks.