Minimally Invasive Surgery and Optimal Perioperative Management for Elderly Surgical Patients
Yanaga, K.
Nihon Geka Gakkai Zasshi 117(3): 165-173
2016
ISSN/ISBN: 0301-4894 PMID: 30160392 Document Number: 688520
As a result of increasing life expectancy, the incidence of cancer diagnosed in the older population is rising. The therapeutic strategies for elderly patients are generally difficult to determine due to comorbidity, functional status, and socioeconomic aspects. For esophageal cancer, strict operative indications as well as advances in perioperative management have resulted in marked improvement of surgical outcomes after esophagectomy even in elderly patients. Laparoscopic surgery for gastric cancer and colorectal cancer spread rapidly throughout Japan, and reasonable surgical outcomes have been reported in the elderly. In future, objective assessments of the surgical stress of treatment will be essential. Furthermore, clinical research based on geriatric assessment scores are warranted for elderly patients with gastrointestinal cancers.