Scholarlink

Purpose <p>To identify the perioperative risk factors for postoperative complications in patients aged ≥ 80 years.</p> Methods <p>We retrospectively analyzed 2,072 consecutive patients who underwent colorectal surgery at seven institutions between January 2021 and December 2023 and compared the perioperative outcomes between patients aged ≥ 80 (<i>n</i> = 464) and ≤ 79 years (<i>n</i> = 1,608).</p> Results <p>Patients aged ≥ 80 years had an American Society of Anesthesiologists Physical Status (ASA-PS) score of ≥ 3 (<i>P</i> &lt; 0.0001) and more comorbidities. Minimally invasive surgery was performed less frequently (<i>P</i> &lt; 0.0001), with a shorter surgical duration (<i>P</i> = 0.0003) and greater intraoperative bleeding (<i>P</i> = 0.04). Postoperative pneumonia (<i>P</i> = 0.0005) and urinary disorder complications after rectal surgery (<i>P</i> = 0.03) were more frequent in patients aged ≥ 80 years. A multivariate analysis identified male sex (<i>P</i> = 0.02), ASA-PS ≥ 3 (<i>P</i> = 0.005), and intraoperative bleeding (<i>P</i> = 0.02) as independent risk factors for pneumonia. Intraoperative bleeding (<i>P</i> = 0.002) and anastomosis (<i>P</i> = 0.03) were significant risk factors for urinary disorders after rectal surgery. Minimally invasive surgery in older adults resulted in a longer surgical duration (<i>P</i> &lt; 0.0001), less bleeding (<i>P</i> &lt; 0.0001), and fewer complications than conventional surgery.</p> Conclusion <p>Postoperative pneumonia and urinary complications after rectal surgery are common in older adult patients. Minimally invasive approaches may reduce the risk of complications.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Risk factors for postoperative complications after colorectal surgery in patients aged ≥ 80 years: A multicenter retrospective study

  • 期刊论文

  • 发表日期：

    2026年6月22日

查看全文
  • Hirofumi Hasuda,
  • Ryota Nakanishi,
  • Taichiro Nagai,
  • Hirotada Tajiri,
  • Mitsuhiko Ota,
  • Yoshihisa Sakaguchi,
  • Koji Ando,
  • Masahiko Sugiyama,
  • Hideo Uehara,
  • Yoshihiko Fujinaka,
  • Daisuke Yoshida,
  • Keitaro Edahiro,
  • Eiji Oki,
  • Tomoharu Yoshizumi

摘要

Purpose

To identify the perioperative risk factors for postoperative complications in patients aged ≥ 80 years.

Methods

We retrospectively analyzed 2,072 consecutive patients who underwent colorectal surgery at seven institutions between January 2021 and December 2023 and compared the perioperative outcomes between patients aged ≥ 80 (n = 464) and ≤ 79 years (n = 1,608).

Results

Patients aged ≥ 80 years had an American Society of Anesthesiologists Physical Status (ASA-PS) score of ≥ 3 (P < 0.0001) and more comorbidities. Minimally invasive surgery was performed less frequently (P < 0.0001), with a shorter surgical duration (P = 0.0003) and greater intraoperative bleeding (P = 0.04). Postoperative pneumonia (P = 0.0005) and urinary disorder complications after rectal surgery (P = 0.03) were more frequent in patients aged ≥ 80 years. A multivariate analysis identified male sex (P = 0.02), ASA-PS ≥ 3 (P = 0.005), and intraoperative bleeding (P = 0.02) as independent risk factors for pneumonia. Intraoperative bleeding (P = 0.002) and anastomosis (P = 0.03) were significant risk factors for urinary disorders after rectal surgery. Minimally invasive surgery in older adults resulted in a longer surgical duration (P < 0.0001), less bleeding (P < 0.0001), and fewer complications than conventional surgery.

Conclusion

Postoperative pneumonia and urinary complications after rectal surgery are common in older adult patients. Minimally invasive approaches may reduce the risk of complications.