Dissertation > Excellent graduate degree dissertation topics show

Laparoscopic Resection of Colorectal Cancer: A Comparison between Elderly and Younger Patients

Author: Gopall Jayprakash
Tutor: Cheng Yong（ChengYong）
School: Chongqing Medical University
Course:
Keywords: laparoscopic surgery colorectal cancer elderly
CLC: R735.37
Type: Master's thesis
Year: 2011
Downloads: 7
Quote: 0
Read: Download Dissertation

Abstract


Aims: To assess the effects of age on the outcome of laparoscopic colorectal surgery for cancer in a single institution by means of a comparison between younger and older patients.Methods: Data was collected from case sheets of 165 patients who underwent laparoscopic surgery for colorectal cancer as from January 2007 till September 2009. The enrolled patients were subdivided into group A (≥65 years) and group B (<65 years). Retrospective comparative analysis of the pre-operative variables, operative data and post-operative complications was carried out.Results: A significantly higher percentage of elderly patients (30.5%) had undergone open surgical procedures before laparoscopic colorectal surgery, p=0.012. Operative data was comparable between the two groups. All post-operative complications were comparable between both groups, except for the time to flatus where the difference was statistically significant (p= 0.006) with Group A having a mean of 5.61 days as compared to Group B with a mean of 4.8 days. Conclusion: Our study suggests that laparoscopy should be considered as the first option in elderly patients undergoing colorectal resection as its rate of post-operative complications appear to be comparable irrespective of age.

Related Dissertations

  1. Investigation of Sports for Elder People and Countermeasure of Development in Fuzhou City,G812.48
  2. Effects of the Therapeutic Communication System Intervention on the Illness Uncertainty of Preoperative Colorectal Cancer Patients,R473.73
  3. Clinical Efficacy of Deanxit Combined with Esomeprazole and Itopride in Treatment of Refractory Gastroesophageal Reflux Disease in Elderly Patients,R571
  4. Comparative Efficacy with Locking Plate and the Normal Plate for Treatment of Elderly Tibial Plateau Fractures in Schatzker Ⅱ, Ⅲ Type,R687.3
  5. Study on Clinical Manifestations of First-onset Elderly Depression,R749.4
  6. Artistic and Technical Embodiment of Chinese Elements in Clothing Design for the Aged,TS941.2
  7. Study on Middle-Aged and Elderly People’s Cognitive Beliefs of Exercising,G812.4
  8. The exoskeleton elderly assisted walking device designed,TH789
  9. Clinical Features and Prognostic Factor Analysis of Elderly Community-acquired Pneumonia,R563.1
  10. Comparison of PFNA and DHS in Treatment of the Elderly Intertrochanteric Femur Fractures,R687.3
  11. Comparison between Two Method for Femoral Neck Fractures in Elderly,R687.3
  12. Analyzing Complications of 47 Cases of Laparoscopic Gynecologic Surgery,R713
  13. Protein Expressions of EGFR、K-ras、P53 and Ki-67 in Colorectal Cancer, Gastric Cancer and Esophageal Cancer,R735
  14. Fundamental Research of the Function of Angiogenesis Inhibitors to Colon Cancer Stem Cells in Mice and Analysis of Related Mechanism,R735.35
  15. The Expression and Clinical Significance of EpCAMhigh /CD44+ Colorectal Cancer Stem Cells and β-catenin in Colorectal Cancer,R735.34
  16. Effects of TGF-β1 and Sodium Butyrate on Human Colorectal Cancer Cell Line HCT-116 Proliferation,R735.34
  17. The Expression of NALP1 and ASC in Colorectal Cancer,R735.34
  18. The Expression and Significance of CD24 mRNA in Colorectal Polyps,R735.34
  19. Expression of ERCC1, nm23-H1 in Colorectal Carcinoma and Its Clinical Significance,R735.34
  20. The Clinic Study of Comparison between Laparoscopic with Open Colonrectal Radical Surgery,R735.3
  21. Study on the Short-term Endpoints of Conventional Versus Laparoscopic-assisted Surgery in Patients with Colorectal Cancer,R735.3

CLC: > Medicine, health > Oncology > Gastrointestinal Cancer > Intestinal neoplasms > Rectal cancer
© 2012 www.DissertationTopic.Net  Mobile