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

IF 2.3 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2026-10-01 Epub Date: 2026-06-22 DOI:10.1007/s00595-026-03299-9

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

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引用次数: 0

Abstract

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.

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年龄≥80岁患者结直肠癌术后并发症的危险因素：一项多中心回顾性研究

目的：探讨≥80岁患者术后并发症的围手术期危险因素。方法：我们回顾性分析了2021年1月至2023年12月在7家机构连续接受结直肠手术的2072例患者，并比较了年龄≥80岁（n = 464）和≤79岁（n = 1608）患者的围手术期结局。结果：年龄≥80岁的患者，美国麻醉医师协会生理状态（ASA-PS）评分≥3 (P)。结论：直肠术后肺炎和泌尿系统并发症在老年患者中很常见。微创入路可降低并发症的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.