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Your search keyword '"Società italiana di chirurgia geriatrica"' showing total 2 results
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2 results on '"Società italiana di chirurgia geriatrica"'

1. Does the routine histological examination of the inferior mesenteric artery Iymph nodes have a prognostic value in elderly patients with sigmoid colon and rectum tumors?

Author

P Makovac, M Fava, Angelo Turoldo, Gennaro Liguori, Roseano M, Fava, M., Turoldo, Angelo, Roseano, Mauro, Makovac, P., Liguori, Gennaro, Società italiana di chirurgia geriatrica, Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi, M., Fava, and P., Makovac

Subjects
medicine.medical_specialty, Geriatrics gerontology, business.industry, education, Sigmoid colon, Rectum, elderly patients, Inferior mesenteric artery, Surgery, elderly patient, medicine.anatomical_structure, medicine.artery, Meeting Abstract, medicine, Geriatric surgery, lyrnphadenec- tomy, colorectal and sigmoid cancer, Lymph, Radiology, Geriatrics and Gerontology, business, Histological examination
Abstract

The purpose of our study was to estimate in elderly patients with a colorectal and sigmoid cancer the frequency of the histopathological exam and to analyze the prognostic/therapeutic value of central LN examination. In our experience the histological evaluation of the central LN has a precise prognostic value. Patients in which the histological evaluation of the central LN was performed had a better prognosis than patients in which the histological evaluation wasn’t possible (tha actuarial survival rate at 5 years was 73,2% in patients in which the central LN status was determinated and 62,7% in thiose in which it wasn’t (p=0.0066). The authors conclude that the histological evaluation of the central LN represents the quality standard of the lymphadenectomy and ensures a precise staging of the tumor which decreases the shifting between tumor stages. From an oncological point of view the therapeutic improvement achieved can be ascribed to metastatic LN dissection.

Published
2009

2. Congestive heart failure and comorbidity as determinants of colorectal cancer perioperative outcomes.

Author

Basso C, Gennaro N, Dotto M, Ferroni E, Noale M, Avossa F, Schievano E, Aceto P, Tommasino C, Crucitti A, Incalzi RA, Volpato S, Petrini F, Carron M, Pace MC, Bettelli G, Chiumiento F, Corcione A, Montorsi M, Trabucchi M, Maggi S, and Corti MC

Subjects
Aged, Comorbidity, Humans, Length of Stay, Patient Readmission, Postoperative Complications epidemiology, Retrospective Studies, Risk Factors, Colorectal Neoplasms complications, Colorectal Neoplasms surgery, Heart Failure epidemiology
Abstract

There has been an increase in surgical interventions in frailer elderly with concomitant chronic diseases. The purpose of this paper was to evaluate the impact of aging and comorbidities on outcomes in patients who underwent surgery for the treatment of colorectal cancer (CRC) in Veneto Region (Northeastern Italy). This is a retrospective cohort study in patients ≥ 40 years who underwent elective or urgent CRC surgical resection between January 2013 and December 2015. Independent variables included: age, sex, and comorbidities. We analyzed variables associated with the surgical procedure, such as stoma creation, hospitalization during the year before the index surgery, the surgical approach used, the American Society of Anesthesiologists (ASA) score, and the Charlson Comorbidity Index score. Eight thousand four hundred and forty-seven patients with CRC underwent surgical resection. Patient age affected both pre- and post-resection LOS as well as the overall survival (OS); however, it did not affect the 30-day readmission and reoperation rates. Multivariate analysis showed that age represented a risk factor for longer preoperative and postoperative LOS as well as for 30-day and 365-day mortality, but it was not associated with an increased risk of 30-day reoperation and 30-day readmission. Chronic Heart Failure increased the 30-day mortality risk by four times, the preoperative LOS by 51%, and the postoperative LOS by 33%. Chronic renal failure was associated with a 74% higher 30-day readmission rate. Advanced age and comorbidities require a careful preoperative evaluation and appropriate perioperative management to improve surgical outcomes in older patients undergoing elective or urgent CRC resection., (© 2021. The Author(s).)

Published
2022
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