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Comparative Analysis of Surgical Treatment Outcomes for Colorectal Cancer in Elderly Patients Using Minimally Invasive Techniques ; Сравнительный анализ результатов хирургического лечения колоректального рака у пациентов старческой возрастной группы с применением малоинвазивных технологий

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  • Additional Information
    • Contributors:
      This work is not funded.; Данная работа не финансировалась.
    • Publication Information:
      Башкирский государственный медицинский университет
    • Publication Date:
      2025
    • Collection:
      Creative surgery and oncology (E-Journal) / Креативная хирургия и онкология
    • Abstract:
      Introduction. Colorectal cancer (CRC) remains one of the most common causes of cancer incidence and mortality, particularly among older adults. Population aging and increased life expectancy contribute to a growing proportion of elderly patients diagnosed with CRC. Considering comorbidities, functional limitations, and a high risk of complications, the choice of optimal surgical management in this population is challenging. Therefore, comparative analyses of different surgical strategies in this patient group present clinical significance. The aim of this study was to perform a comparative analysis of surgical outcomes in elderly patients with colon cancer depending on a surgical approach. Materials and methods. The study included 140 patients who underwent either laparotomic or laparoscopic surgery. Demographic and clinical and pathologic features, intra- and postoperative parameters, complication rates according to the Clavien—Dindo classification, as well as survival outcomes, were assessed. Results. Laparoscopic interventions were associated with shorter hospital stays, while overall survival rates were comparable between the two groups. The frequency of postoperative complications according to the Clavien—Dindo classification was similar; however, grade II complications occurred more frequently in the laparotomy group. No statistically significant differences were observed in postoperative mortality or disease stage between the groups. Discussion. Both current literature and the obtained results confirm the safety and effectiveness of the laparoscopic approach in elderly patients with CRC. Minimally invasive interventions are associated with reduced intraoperative trauma and more favorable postoperative recovery. Nevertheless, careful preoperative selection remains essential, particularly in patients with severe comorbidities. Conclusion. The findings indicate that minimally invasive procedures are safe and highly effective in the surgical management of colorectal cancer in elderly patients. ; Введение. ...
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    • Relation:
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DOI:10.1007/s00423-023-03016-x; https://www.surgonco.ru/jour/article/view/1114
    • Accession Number:
      10.24060/2076-3093-2025-15-3-235-243
    • Online Access:
      https://www.surgonco.ru/jour/article/view/1114
      https://doi.org/10.24060/2076-3093-2025-15-3-235-243
    • Rights:
      Authors who publish with this journal agree to the following terms:Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). ; Авторы, публикующие статью в данном журнале, соглашаются со следующим:Авторы сохраняют за собой авторские права на работу и предоставляют журналу право первой публикации работы на условиях лицензии Creative Commons Attribution License, которая позволяет другим распространять данную работу с обязательным сохранением ссылок на авторов оригинальной работы и оригинальную публикацию в этом журнале.Авторы сохраняют право заключать отдельные контрактные договорённости, касающиеся не-эксклюзивного распространения версии работы в опубликованном здесь виде (например, размещение ее в институтском хранилище, публикацию в книге), со ссылкой на ее оригинальную публикацию в этом журнале.Авторы имеют право размещать их работу в сети Интернет (например в институтском хранилище или персональном сайте) до и во время процесса рассмотрения ее данным журналом, так как это может привести к продуктивному обсуждению и большему количеству ссылок на данную работу (См. The Effect of Open Access).
    • Accession Number:
      edsbas.BB474816