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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Rectal Cancer Surgery in Patients Older Than 80 Years: Is Hartmann's Procedure Safe?
    Author: Iguchi K, Mushiake H, Hasegawa S, Inagaki D, Fukushima T, Numata M, Tamagawa H, Yukawa N, Rino Y, Masuda M.
    Journal: In Vivo; 2020; 34(6):3661-3667. PubMed ID: 33144482.
    Abstract:
    BACKGROUND/AIM: The current study aimed to identify the safety and efficacy of Hartmann's procedure (HP) among elderly patients (age ≥80 years) with rectal cancer. PATIENTS AND METHODS: Data on surgical outcome, survival rate, and incidence of stoma reversal were retrospectively compared between patients aged over 80 years who underwent anterior resection (AR) and HP. RESULTS: In total, 79 elderly patients underwent rectal cancer surgery. Of these patients, 54 (68.4%) underwent AR and 25 (31.6%) HP. The two groups did not differ significantly in terms of age, nutrient status, and tumor characteristics. Eight (14.8%) patients who underwent AR and six (24.0%) who underwent HP presented with intra-abdominal complications (p=0.35). The overall survival and recurrent-free survival rates between the two groups did not differ. CONCLUSION: HP for elderly patients with rectal cancer has similar complication rates to AR, and achieved similar oncological outcomes.
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