Is laparoscopic Colorectal Surgery Beneficial for Elderly Patients? A Systematic Review and Meta-Analysis

Background Elderly patients who undergo major abdominal surgery are potentially at a higher risk of perioperative mortality and postoperative complications. Although laparoscopic surgery has been widely accepted as a less invasive surgical procedure for colorectal diseases, the benefits for elderly...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2015-04, Vol.19 (4), p.756-765
Main Authors: Seishima, Ryo, Okabayashi, Koji, Hasegawa, Hirotoshi, Tsuruta, Masashi, Shigeta, Kohei, Matsui, Shimpei, Yamada, Toru, Kitagawa, Yuko
Format: Article
Language:English
Subjects:
Age Factors
Aged
Colonic Diseases - surgery
Colorectal surgery
Gastroenterology
Humans
Laparoscopy
Medicine
Medicine & Public Health
Mortality
Older people
Original Article
Population
Postoperative Complications
Postoperative period
Rectal Diseases - surgery
Surgery
Surgical anastomosis
Systematic review
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Summary:Background Elderly patients who undergo major abdominal surgery are potentially at a higher risk of perioperative mortality and postoperative complications. Although laparoscopic surgery has been widely accepted as a less invasive surgical procedure for colorectal diseases, the benefits for elderly patients have not been validated. Aim To compare postoperative outcomes and long-term survival between laparoscopic and open colorectal surgery in the elderly population. Methods A literature search was electronically performed to identify all studies comparing postoperative outcomes between laparoscopic and open colorectal resections in the elderly population. Primary outcomes were postoperative mortality and complications, and the secondary outcome was long-term survival. Results Overall, 30 studies (70,946 patients) met our inclusion criteria. Laparoscopic surgery was significantly associated with a decreased risk of perioperative mortality [odds ratio (OR), 0.55; 95 % confidence interval (CI), 0.45–0.68; P  
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-015-2748-9