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Chapter 22 - Surgery in the Elderly: General Considerations

from Section 3 - Intraoperative Management

Published online by Cambridge University Press:  16 November 2017

By
Isacco Montroni  and
Riccardo A. Audisio
Edited by
Gabriella Bettelli
Gabriella Bettelli
Affiliation:
University of San Marino
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Type
Chapter
Information
Perioperative Care of the Elderly
Clinical and Organizational Aspects
 , pp. 144 - 149
Publisher: Cambridge University Press
Print publication year: 2017

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References

Adam, R., Frilling, A., Elias, D., et al. (2010) Liver resection of colorectal metastases in elderly patients. Br J Surg. 97: 366–376.Google Scholar
Al-Temimi, M.H., Griffee, M., Enniss, T.M., et al. (2012). When is death inevitable after emergency laparotomy? Analysis of the American College of Surgeons National Surgical Quality Improvement Program database. J Am Coll Surg. 215: 503–551.CrossRefGoogle ScholarPubMed
Alves, A., Panis, Y., Mathieu, P., et al. (2005). Mortality and morbidity after surgery of mid and low rectal cancer: results of a French prospective multicentric study. Gastroenterol Clin Bio., 29(5): 509–514.CrossRefGoogle ScholarPubMed
Andersson, R.E. (2013). Short and long-term mortality after appendectomy in Sweden 1987 to 2006: influence of appendectomy diagnosis, sex, age, co-morbidity, surgical method, hospital volume, and time period. A national population-based cohort study. World J Surg. 37: 974–998.CrossRefGoogle Scholar
Barrier, A., Ferro, L., Houry, S., et al. (2003). Rectal cancer surgery in patients more than 80 years of age. Am J Surg. 185: 54–57.CrossRefGoogle Scholar
Bhatt, N.R., Sheridan, G., Connolly, M., et al. (2015). Postoperative exercise training is associated with reduced respiratory infection rates and early discharge: a case-control study. Surgeon. 15: 00078–5.Google Scholar
Brouquet, A., Cudennec, T., Benoist, S., et al. (2010). Impaired mobility, ASA status and administration of tramadol are risk factors for postoperative delirium in patients aged 75 years or more after major abdominal surgery. Ann Surg. 251: 759–765.CrossRefGoogle ScholarPubMed
Chang, G.J., Skibber, J.M., Feig, B.W., et al. (2007). Are we undertreating rectal cancer in the elderly? An epidemiologic study. Ann Surg. 246: 215–221.CrossRefGoogle ScholarPubMed
Dasgupta, M., Dumbrell, A.C. (2006). Preoperative risk assessment for delirium after noncardiac surgery: a systematic review. J Am Geriatr Soc. 54: 1578–1589.Google Scholar
de Liguori Carino, N., van Leeuwen, B.L., Ghaneh, P., et al. (2008) Liver resection for colorectal liver metastases in older patients. Crit Rev Oncol Hematol. 67: 273–278.CrossRefGoogle ScholarPubMed
Deiner, S., Westlake, B., Dutton, R.P. (2014). Patterns of surgical care and complications in elderly adults. J Am Geriatr Soc. 62: 829–835.Google Scholar
Dekker, J.W., Gooiker, G.A., Bastiaannet, E., et al. (2014). Steering Committee of the “Quality Information System Colorectal Cancer” Project: cause of death the first year after curative colorectal cancer surgery; a prolonged impact of the surgery in elderly colorectal cancer patients. Eur J Surg Oncol, 40(11), 1481–1487.CrossRefGoogle Scholar
Desserud, K.F., Veen, T., Søreide, K. (2016). Emergency general surgery in the geriatric patient. Br J Surg. 103(2): e52–e61.CrossRefGoogle ScholarPubMed
Dindo, D., Demartines, N., Clavien, P.A. (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg, 240(2):205–213.Google Scholar
Fong, T.G., Tulebaev, S.R., Inouye, S.K. (2009). Delirium in elder adults: diagnosis, prevention and treatment. Nat Rev Neurol. 5(4): 210–220.Google Scholar
Hashmi, A., Ibrahim-Zada, I., Rhee, P., et al. (2014). Predictors of mortality in geriatric trauma patients: a systematic review and meta-analysis. J Trauma Acute Care Surg. 76: 894–901.Google Scholar
Hatzaras, I., Schmidt, C., Klemanski, D., et al. (2011). Pancreatic resection in the octogenarian: a safe option for pancreatic malignancy. J Am Coll Surg. 212: 373–377.Google Scholar
Jia, Y., Jin, G., Guo, S., et al. (2014). Fast-track surgery decreases the incidence of postoperative delirium and other complications in elderly patients with colorectal carcinoma. Langenbecks Arch Surg. 399(1): 77–84.Google Scholar
Jung, B., Påhlman, L., Johansson, R., et al. (2009). Rectal cancer treatment and outcome in the elderly: an audit based on the Swedish Rectal Cancer Registry 1995–2004. BMC Cancer. 26: 9–68.Google Scholar
Kenig, J., Zychiewicz, B., Olszewska, U., et al. (2015). Six screening instruments for frailty in older patients qualified for emergency abdominal surgery. Arch Gerontol Geriatr. 61: 437–442.CrossRefGoogle ScholarPubMed
Kvasnovsky, C.L., Adams, K., Sideris, M., et al. (2016) Elderly patients have more infectious complications following laparoscopic colorectal cancer surgery. Colorectal Dis. 18(1): 94–100.CrossRefGoogle ScholarPubMed
Leslie, D., Zhang, Y., Holford, T., et al. (2005). Premature death associated with delirium at 1-year follow-up. Arch Intern Med. 165: 1657–1662.CrossRefGoogle ScholarPubMed
Lightner, A.M., Glasgow, R.E., Jordan, T.H. et al. (2004). Pancreatic resection in the elderly. J Am Coll Surg. 198: 697–706.Google Scholar
Liu, L.L., Leung, J.M. (2000). Predicting adverse postoperative outcomes in patients aged 80 years or older. J Am Geriatr Soc. 48: 405–412.CrossRefGoogle ScholarPubMed
Manceau, G., Karoui, M., Werner, A., et al. (2012). Comparative outcomes of rectal cancer surgery between elderly and non-elderly patients: a systematic review. Lancet Oncol. 13: e525–e536.Google Scholar
Okuno, K. (2007) Surgical treatment for digestive cancer: current issues – colon cancer. Dig Surg. 24(2): 108–114.Google Scholar
Ozban, M., Birsen, O., Senel, M., et al. (2015). The analysis of scoring systems predicting mortality in geriatric emergency abdominal surgery. Ulus Travma Acil Cerrahi Derg. 21: 182–186.Google Scholar
Raats, J.W., Steunenberg, S.L., Crolla, R.M., et al. (2015). Postoperative delirium in elderly after elective and acute colorectal surgery: a prospective cohort study. Int J Surg. 18: 216–219.CrossRefGoogle ScholarPubMed
Rangel, E.L., Cooper, Z., Olufajo, O.A. et al. (2015). Mortality after emergency surgery continues to rise after discharge in the elderly: predictors of 1-year mortality. J Trauma Acute Care Surg. 79: 349–358.CrossRefGoogle Scholar
Reisinger, K.W., van Vugt, J.L., Tegels, J.J., et al. (2015). Functional compromise reflected by sarcopenia, frailty, and nutritional depletion predicts adverse postoperative outcome after colorectal cancer surgery. Ann Surg. 261(2): 345–352.CrossRefGoogle ScholarPubMed
Riall, T.S., Cameron, J.L., Lillemoe, K.D., et al. (2006). Resected periampullary adenocarcinoma: 5-year survivors and their 6- to 10-year follow-up. Surgery. 140: 764–772.Google Scholar
Riall, T.S., Sheffield, K.M., Kuo, Y.F., et al. (2011). Resection benefits older adults with locoregional pancreatic cancer despite greater short-term morbidity and mortality. J Am Geriatr Soc. 59(4): 647–654.Google Scholar
Rutten, H.J., den Dulk, M., Lemmens, V.E., et al. (2007). Survival of elderly rectal cancer patients not improved: analysis of population based data on the impact of TME surgery. Eur J Cancer. 43: 2295–2300.CrossRefGoogle Scholar
Rutten, H.J., den Dulk, M., Lemmens, V.E., et al. (2008). Controversies of total mesorectal excision for rectal cancer in elderly patients. Lancet Oncol. 9: 494–501.Google Scholar
Søreide, K., Wijnhoven, B. (2016). Surgery for the aging population. Br J Surg. 103(2): e7–e9.CrossRefGoogle Scholar
Takeuchi, D., Koide, N., Suzuki, A., et al. (2015). Postoperative complications in elderly patients with gastric cancer. J Surg Res. 198(2): 317–326.CrossRefGoogle ScholarPubMed
Thorsen, K., Søreide, J.A., Søreide, K. (2014). What is the best predictor of mortality in perforated peptic ulcer disease? A population-based, multivariable regression analysis including three clinical scoring systems. J Gastrointest Surg. 18: 1261–1268.Google Scholar
Tsuda, Y., Yasunaga, H., Horiguchi, H., et al. (2015). Association between dementia and postoperative complications after hip fracture surgery in the elderly: analysis of 87,654 patients using a national administrative database. Arch Orthop Trauma Surg. 135(11): 1511–1517.Google Scholar
Turrini, O., Paye, F., Bachellier, P., et al. (2013). French Surgical Association (AFC). Pancreatectomy for adenocarcinoma in elderly patients: postoperative outcomes and long term results: a study of the French Surgical Association. Eur J Surg Oncol. 39(2): 171–178.CrossRefGoogle ScholarPubMed
Ugolini, G., Ghignone, F., Zattoni, D., et al. (2014). Personalized surgical management of colorectal cancer in elderly population. World J Gastroenterol. 20(14): 3762–3777.CrossRefGoogle ScholarPubMed
Yun, H.R., Lee, W.Y., Lee, O.S., et al. (2007). The prognostic factors of stage IV colorectal cancer and assessment of proper treatment according to the patient’s status. Int J Colorectal Dis. 22(11): 1301–1310.Google Scholar

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