| Theme | Endoscopic Treatment for Elderly Patients with Gastro‒intestinal Cancer | |
|---|---|---|
| Title | Surgical Treatment for Colorectal Cancer in Elderly Patient | |
| Publish Date | 2017/06 | |
| Author | Yosuke Fukunaga | Department of Gastroenterological Surgery, The Cancer Institute Hospital of JFCR |
| Author | Masashi Ueno | Department of Gastroenterological Surgery, The Cancer Institute Hospital of JFCR |
| Author | Yoshiya Fujimoto | Department of Gastroenterological Surgery, The Cancer Institute Hospital of JFCR |
| Author | Tsuyoshi Konishi | |
| Author | Takashi Akiyoshi | Department of Gastroenterological Surgery, The Cancer Institute Hospital of JFCR |
| Author | Toshiya Nagasaki | Department of Gastroenterological Surgery, The Cancer Institute Hospital of JFCR |
| [ Summary ] | One of the recent problems relating to cancer incidence and mortality is the increasing incidence of patients having colorectal cancer owing to the high age trend in Japan. Therapeutic strategies in such patients should be considered based on various characteristics of this age group who likely have several comorbidities, such as heart disease, respiratory disorders, and dementia, among others. We have to refer several indications which would expect their postoperative complications and long‒term outcomes. Those indices have been already reported as far as relating surgical outcomes of high age patients not limiting to colorectal cancer. Some of those are constructed by not only preoperative factors but also intraoperative data. Surgeons dealing with elderly patients having colorectal cancer need to choose the easiest and most effective index applicable. Laparoscopic surgery as a minimally invasive surgery is considered a relevant tool in our institution to decrease postoperative complications especially in elderly patients having colorectal cancer. We are also pursuing and developing further less invasive ways to help manage those patients who are classified as borderline candidates with respect to eligibility to undergo either endoscopic or surgical therapy. | |