Laparoscopic Colorectal Resection in Elderly

NCT ID: NCT05563441

Last Updated: 2023-04-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

360 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-01-20

Study Completion Date

2023-01-31

Brief Summary

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This is a nested cohort study of OAMBP-01. Patients over 70 years old were enrolled into the data-analysis.

The purpose of this study was to examine the feasibility and safety of laparoscopic colorectal resection in elderly patients from a single center, and to explore if there are advantages in laparoscopic surgery.

Detailed Description

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Surgical resection remains the primary treatment for CRC. Despite advancements in surgical techniques, treating elderly cancer patients remains challenging for surgeons. Perioperative risk increases as elderly patients are susceptible to cardiovascular and respiratory diseases. In addition, it has been demonstrated that elderly individuals come with more locally advanced tumor and are more likely to have obstructive or disseminated disease at the time of presentation. In addition, aging diminishes a person's physiological capacity to withstand a major operation. Therefore, surgeons preferred to choose laparotomic colorectal resection to reduce surgical duration and morbidity..

The benefits of laparoscopic colorectal resections over laparotomic surgery have been clearly demonstrated in the general population. However, previous clinical trials comparing surgical approach between laparoscopy and laparotomy restricted the patient's age \<75 years, we have limited information on short- and long-term safety and efficacy of elderly patients underwent laparoscopic colorectal resection.

The purpose of this study was to examine the feasibility and safety of laparoscopic colorectal resection in elderly patients from a single center, and to explore if there are advantages in laparoscopic surgery.

This is a nested cohort study of OAMBP-01. Patients over 70 years old were enrolled into the data-analysis.

Conditions

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Colorectal Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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laparoscopic surgery

Patients over 70 years old underwent laparoscopic colorectal resection were enrolled.

laparoscopic surgery

Intervention Type PROCEDURE

Patients over 70 years old underwent laparoscopic or laparotomic colorectal resection were enrolled.

laparotomic surgery

Patients over 70 years old underwent laparotomic colorectal resection were enrolled.

No interventions assigned to this group

Interventions

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laparoscopic surgery

Patients over 70 years old underwent laparoscopic or laparotomic colorectal resection were enrolled.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 1\. Patient underwent elective laparoscopic or laparotomic colorectal resection for cancer treatment; 2. Patient baseline characteristics and surgical information were available; 3. Patients with complete follow-up data.

Exclusion Criteria

* 1\. Emergency surgery for causes including bowel obstruction, bleeding, or perforation; 2. Multiple primary malignancies; 3. Failure to follow-up.
Minimum Eligible Age

70 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Third Affiliated Hospital, Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Hongbo Wei

Director of Gastrointestinal Surgery department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Purun Lei, M.D.

Role: PRINCIPAL_INVESTIGATOR

Third Affiliated Hospital, Sun Yat-Sen University

Locations

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Third Affiliated Hospital of Sun-Yat sen University

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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OAMBP-03

Identifier Type: -

Identifier Source: org_study_id

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