Minimizing the impact of colorectal surgery in the older patient: The role of minimally invasive surgery in the geriatric population

Publication date: Available online 2 January 2020Source: European Journal of Surgical OncologyAuthor(s): Paul A. Kolarsick, Matteo Sacchi, Antonino Spinelli, Steven D. WexnerAbstractWith an aging population comes a greater incidence of colorectal cancer and a corresponding need for surgical resection in the geriatric population. This heterogeneous group of patients may benefit from multidisciplinary pre-operative evaluation and optimization, prehabilitation, enhanced recovery protocols, and a minimally invasive approach to resection. Concerns regarding the ability of the older patient to tolerate the physiologic demands of pneumoperitoneum have not been validated. Conversely, these vulnerable patients may experience a greater reduction in morbidity than their younger counterparts through the use of minimally invasive techniques.
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research