Geriatric aspects in oncocoloproctology (review)

Abstract

Severe comorbidity significantly limits the application of active surgical tactics with respect to colorectal cancer (CRC) patients of older age groups, leading to the abandonment of necessary radical operations in 20% of cases. Low indicators of the application of adequate surgical tactics are by no means always due to objective difficulties; they may often be caused by the stereotypical approach to solving the problem of treatment of elderly patients, which leads to the unreasonable refusal of surgical intervention. To date, there is no unified concept of surgical treatment of colon cancer patients of elderly and senile age. There is no generally accepted system for determining functional operability in this group of patients, and no specific algorithms have been developed for their preoperative preparation and perioperative management. Therefore, one of the priorities in oncosurgery is the search for new approaches in the surgical treatment of gerontological CRC patients that will make it possible to increase the rate of execution of radical operations and, at the same time, decrease the number of postoperative complications in this numerous group of patients.