Recent studies demonstrated that elderly patients often received sub-optimal surgical and medical treatments because of unacceptable prejudices. The relationship between age and outcomes is complex and depend by differences in tumor-stage and pre-existing co-morbidities. Chronological age alone does not provide sufficient guidance for surgical effectiveness. Key parameters in the surgical risk assessment are represented by biological indexes of each patient. The oncologic results and the morbidity rates of our experience confirm that surgery is a safe therapy in most elderly patients when operative risk and associated diseases evaluation has been careful calculated. The role of surgery in colorectal cancer geriatric patients is well defined in the scientific literature. More comprehensive insights in oncologist surgery of elderly population will derive from the better understanding of the physiology of aging and combined therapies.
Colorectal cancer surgery in the eldery; oncologic results from our experience
SELVAGGI, Federico;SIMO, DANIELA;CELLINI, CARLO;IACOVETTA, DOMENICO;DIMALIO, ROBERTA;COTELLESE, Roberto;D'AULERIO, Alberto;INNOCENTI, Paolo
2009-01-01
Abstract
Recent studies demonstrated that elderly patients often received sub-optimal surgical and medical treatments because of unacceptable prejudices. The relationship between age and outcomes is complex and depend by differences in tumor-stage and pre-existing co-morbidities. Chronological age alone does not provide sufficient guidance for surgical effectiveness. Key parameters in the surgical risk assessment are represented by biological indexes of each patient. The oncologic results and the morbidity rates of our experience confirm that surgery is a safe therapy in most elderly patients when operative risk and associated diseases evaluation has been careful calculated. The role of surgery in colorectal cancer geriatric patients is well defined in the scientific literature. More comprehensive insights in oncologist surgery of elderly population will derive from the better understanding of the physiology of aging and combined therapies.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
