Safety and feasibility of laparoscopic colorectal cancer surgery in the geriatric age group: A single-centre outcome

BACKGROUND: The increasing prevalence of colorectal cancer among the elderly necessitates exploring surgical options that minimise trauma and expedite recovery. Laparoscopic colorectal surgery has emerged as a promising approach, yet its safety and efficacy in patients aged 65 and above require further investigation. This study aims to evaluate the perioperative outcomes, oncologic adequacy and post-operative recovery associated with laparoscopic colorectal cancer surgery in patients aged 65 years and older. PATIENTS AND METHODS: A retrospective analysis was conducted on elderly patients who underwent laparoscopic colorectal resection between January 2019 and January 2024 at a tertiary centre in India. Data on operative time, blood loss, complication rates, length of hospital stay and overall survival were collected and analysed. RESULTS: A total of 150 patients were included, with 23 undergoing surgery for right colon cancers and 127 for left colon or rectal cancers. The overall survival rate was 96% (95% confidence interval [CI]: 91.5%-98.5%). Laparoscopic surgery was associated with reduced post-operative pain, shorter hospitalisation and quicker return to baseline function. Notably, the minimally invasive approach resulted in lower complication rates and better tolerance of perioperative stress when patients were appropriately selected. CONCLUSION: Laparoscopic colorectal cancer surgery is a safe and effective option for selected elderly patients. With careful pre-operative assessment and optimisation, minimally invasive techniques can offer improved surgical outcomes and enhanced quality of life in the geriatric population. Further prospective studies are warranted to establish standardised guidelines for patient selection and perioperative care in this growing demographic.