CLINICAL AND PARACLINICAL CHARACTERISTICS AND OUTCOMES OF LAPAROSCOPIC SURGERY FOR RECTAL CANCER IN ELDERLY PATIENTS
Main Article Content
Abstract
Background: Laparoscopic surgery in the treatment of rectal cancer is a minimally invasive method that helps reduce pain and limit postoperative complications, particularly beneficial for elderly patients. Objectives: To describe the clinical and paraclinical features, and evaluate the treatment outcomes of rectal cancer in elderly patients. Materials and methods: A cross-sectional description, non-controlled clinical intervention, with the study group consisting of 46 rectal cancer patients who were indicated for laparoscopic colorectal resection at Can Tho Oncology Hospital from January 2025 to February 2026. Results: The mean age was 68.4±5 years, with a male-tofemale ratio of 1.42. The most common comorbidity was diabetes mellitus (52.2%). The predominant clinical symptoms were abdominal pain (45.7%) and hematochezia (69.6%). The mean operative time was 134.2±40.1 minutes. Postoperative complications occurred in 15.2% of patients, including surgical site infection (4.3%), pneumonia (2.2%), anastomotic bleeding (2.2%) and anastomotic leakage (6.5%). No cases of 30-day postoperative mortality were recorded. The average length of hospital stay was 7.5±2.2 days. Conclusion: This study shows that laparoscopic surgery for the treatment of rectal cancer in elderly patients yields favorable outcomes.
Keywords
Elderly patients, rectal cancer, laparoscopic surgery
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References
2. Benson AB, Venook AP, Adam M, et al. Colon Cancer, Version 3.2024, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2024. 22(2 D), e240029, doi: 10.6004/jnccn.2024.0029
3. Nguyễn Văn Tân, Nguyễn Văn Trí, Nguyễn Thanh Huân. Đánh giá tiền phẫu ở người cao tuổi. Trong: Bệnh học người cao tuổi – Tập 1 và 2. TP Hồ Chí Minh. Nhà xuất bản Y học. Trường Đại học Y Dược TP Hồ Chí Minh. 2025, 589-605.
4. Li X, Zhang H, Hou X. Laparoscopic versus open surgical management in elderly patients with rectal cancer aged 70 and older. J Minim Access Surg. 2023. 19(4), 504-510, doi: 10.4103/jmas.jmas_243_22.
5. Trịnh Lê Huy, Phạm Đức Tuấn. Kết quả sớm phẫu thuật nội soi 3D cắt đoạn trực tràng điều trị ung thư trực tràng ở người cao tuổi. Tạp chí Y học Việt Nam. 2022. 514(1), 49-51, doi: 10.51298/vmj.v514i1.2512.
6. Zhang Q, Yang F, Liu G, et al. The application of laparoscopic surgery in elderly patients with colorectal cancer: a meta-analysis. J Geriatr Oncol. 2021.12(2), 269-276, doi: 10.1016/j.jgo.2020.08.005
7. Keller DS, Reif de Paula T, Qiu J, Kiran RP. The trends in adoption, outcomes, and costs of laparoscopic surgery for colorectal cancer in the elderly population. J Gastrointest Surg. 2021.25(3), 766-774, doi: 10.1007/s11605-020-04517-6
8. Passuello N, Polese L, Ometto G, et al. Outcomes of laparoscopic surgery in very elderly patients with colorectal cancer: A survival analysis and comparative study. J Clin Med. 2023. 12(22), 7122, doi: 10.3390/jcm12227122.
9. Seishima R, Miyata H, Okabayashi K, et al. Safety and feasibility of laparoscopic surgery for elderly rectal cancer patients in Japan: a nationwide study. BJS Open. 2021. 5(2), zrab007, doi:10.1093/bjsopen/zrab007.
10. Nguyễn Tuấn Cảnh, Trần Hoàng Anh, Trần Đỗ Thanh Phong, Cao Trần Thanh Phong, Nguyễn Văn Hoá, Nguyễn Tường Anh, Nguyễn Văn Út. Đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị sớm ung thư trực tràng bằng phẫu thuật nội soi và các yếu tố liên quan tại Bệnh viện Đa khoa Trung ương Cần Thơ. Tạp chí Y Dược học Cần Thơ. 2023. 69, 50-57, doi: 10.58490/ctump.2023i69.1910.