Cuidados paliativos y medicina

Abstracto

Palliative Primary Tumor Resection in Elderly and Senile Patients with Metastatic Colorectal Cancer

Maistrenko NA, Sazonov AAa,Hvatov AA

Late diagnosis of colorectal cancer (CRC), along with a high proportion of older patients, explain the relevance of studying the efficiency of cytoreductive surgery in geriatric patients with colorectal cancer. A comparative evaluation of the results of cytoreductive operations (removal of the primary tumor) in two groups of patients with disseminated CRC: younger and over 60 years old. It is established that the implementation of palliative resections in elderly and senile patients allows achieving encouraging long-term results, providing higher survival rates than in patients of young and middle age. More frequent development of complications after cytoreductive operations in patients of older age groups is usually associated with decompensation of the concomitant pathology, which requires its adequate correction in the preoperative period. The use of cytoreductive surgery in patients of older age groups with advanced forms of CRC significantly improves their quality of life.