Ken Sugimoto
   Department   Kawasaki Medical School  Kawasaki Medical School, Department of General Geriatric Medicine,
   Position   Professor
Article types 原著
Language English
Peer review Peer reviewed
Title Clinical benefits of single-incision laparoscopic surgery for postoperative delirium in elderly colon cancer patients.
Journal Formal name：Surgical endoscopy
Abbreviation：Surg Endosc
ISSN code：14322218/09302794
Domestic / ForeginForegin
Volume, Issue, Page 32(3),pp.1434-1440
Author and coauthor 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
Publication date 2018/03
Summary 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