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Phone: (843) 766-6635
Folly Beach Library
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Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
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Phone: (843) 883-3914
Wando Mount Pleasant Library
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Phone: (843) 805-6888
Village Library
9 a.m. - 1 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
Phone: (843) 889-3300
Otranto Road Library
9 a.m. - 8 p.m.
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Mt. Pleasant Library
9 a.m. - 8 p.m.
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McClellanville Library
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Keith Summey North Charleston Library
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John's Island Library
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Hurd/St. Andrews Library
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Miss Jane's Building (Edisto Library Temporary Location)
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Dorchester Road Library
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9 a.m. - 7 p.m.
Phone: (843) 722-7550
Baxter-Patrick James Island
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Phone: (843) 795-6679
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Phone: (843) 805-6930
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Outcomes of Colorectal Cancer Surgery in Nonagenarian Patients.
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- Author(s): Sasaki, Megumi; Hirano, Yasumitsu; Okamoto, Kojun; Koyama, Isamu; Kinugasa, Yusuke
- Source:
Indian Journal of Surgery; Apr2024, Vol. 86 Issue 2, p289-293, 5p- Subject Terms:
MYOCARDIAL ischemia; ABDOMINAL surgery; HYPERTENSION; LAPAROSCOPIC surgery; LOGISTIC regression analysis; COLORECTAL cancer; NONAGENARIANS; RETROSPECTIVE studies; DESCRIPTIVE statistics; CHI-squared test; MULTIVARIATE analysis; SURGICAL complications; STATISTICS; HEALTH outcome assessment; BLOOD volume; DISEASE relapse; DATA analysis software; DIABETES; TIME - Source:
- Additional Information
- Abstract: The number of surgeries performed in the super-elderly population has increased annually with improvements in medical technology. Recently, the outcomes of colorectal cancer surgery in patients aged > 90 years have been reported. We retrospectively examined 44 nonagenarian patients who had undergone colorectal cancer surgery at our hospital from July 2007 to April 2021. The median age of the patients was 91.0 years (range, 90–97 years) and the male:female ratio was 21:23. The lesion site was C/A/T/D/S/R in 8/11/10/4/7/4 cases, respectively. The ratio of laparotomy to laparoscopic surgery was 10:34, median operation time was 172 min (range, 92–317 min), and median intraoperative bleeding volume was 20 ml (range, 10–302 ml). The dissection range was D1/2/3 in 9/22/13 cases, respectively, and in 79.5% of cases, dissection of D2 or higher could be performed. Clavian–Dindo classification Grade II or higher complications were observed in five cases (11.3%). Recurrence was observed in 6 of 42 cases, excluding 2 cases of stage IV disease (liver: 3 cases, lung: 3 cases, and peritoneal dissemination: 1 case). The median observation period was 30.5 months, and four deaths occurred from primary disease. Examination of factors influencing complications revealed that a history of ischemic heart disease may increase the incidence of complications following surgery. With sufficient preoperative evaluation, colorectal cancer surgery may be performed safely, even in nonagenarian patients. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Indian Journal of Surgery is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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