スギモト　ケン   Ken Sugimoto   杉本　研    所属   川崎医科大学  医学部 臨床医学　総合老年医学    職種   教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Clinical benefits of single-incision laparoscopic surgery for postoperative delirium in elderly colon cancer patients.
掲載誌名	正式名：Surgical endoscopy 略　 称：Surg Endosc ISSNコード：14322218/09302794
掲載区分	国外
巻・号・頁	32(3),pp.1434-1440
著者・共著者	Nishizawa Yujiro, Hata Taishi, Takemasa Ichiro, Yamasaki Makoto, Akasaka Hiroshi, Sugimoto Ken, Tamai Koki, Takahashi Hidekazu, Haraguchi Naotsugu, Nishimura Junichi, Matsuda Chu, Mizushima Tsunekazu, Ikenaga Masakazu, Yamamoto Hirofumi, Murata Kohei, Rakugi Hiromi, Doki Yuichiro, Mori Masaki
発行年月	2018/03
概要	BACKGROUND:The number of elderly patients with colon cancer is increasing in Japan. Postoperative delirium (POD) is a major complication for elderly patients who undergo surgery, and postoperative pain is a common inducer of POD. We reported previously that single-incision laparoscopic surgery (SLS) significantly reduces postoperative pain compared to conventional laparoscopic surgery (CLS). Data are lacking about the effect of SLS on POD. This retrospective study evaluated the clinical benefits of SLS for POD in elderly patients with colon cancer.METHODS:This retrospective case-control study included colon cancer patients (n = 134) over 75 years old who underwent elective surgery from 2009 to 2015 at Osaka University Hospital. Of these patients, 110 were evaluated using the comprehensive geriatric assessment (CGA) before surgery and were classified into lower or higher risk groups based on their scores.RESULTS:The rate of POD was significantly lower in the SLS group than the CLS group (13.8% vs. 30.0%; p = 0.0161). In the CGA-based higher risk group, the rate of POD was significantly higher in the CLS group than the SLS group (p = 0.0153).CONCLUSIONS:SLS for elderly colon cancer patients may lower the incidence of POD compared with CLS.
DOI	10.1007/s00464-017-5827-z
PMID	29075972