Provisional Clinical Opinions (PCOs) Recommended by the Surgical Treatment Working Group for Vulnerable Elderly Patients in Colorectal Cancer: Clinical Questions with Answers

  • Nishimura Junichi
    Department of Gastroenterological Surgery, Osaka International Cancer Institute
  • Yoshida Yoshio
    Department of Obstetrics and Gynecology, University of Fukui
  • Tanaka Chie
    Department of Gastroenterological Surgery, Nagoya University School of Medicine
  • Matsuda Keiji
    Department of Surgery, Teikyo University School of Medicine
  • Oka Shiro
    Department of Gastroenterology and Metabolism, Hiroshima University Hospital
  • Murata Kohei
    Department of Surgery, Kansai Rosai Hospital
  • Mizuno Ju
    Department of Anesthesiology and Pain Medicine, Juntendo University Faculty of Medicine
  • Yoshida Yoichiro
    Department of Gastroenterological Surgery, Fukuoka University School of Medicine

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Other Title
  • 「プレフレイル高齢大腸がん患者のための臨床的提言」外科治療に関する提言 ─クリニカルクエスチョン─

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Abstract

<p>This paper explains the following clinical questions about the surgical treatment of prefrail elderly patients with colorectal cancer and presents answers. This is from the Surgical Treatment Working Group of the scientific research project, “A study on infrastructure improvements necessary to develop cancer treatment policies for elderly patients” by the Ministry of Health, Labour and Welfare. CQ1: In the case of elderly patients with dementia with colorectal cancer, whose approval is necessary for treatment? CQ2: Is treatment necessary for early-stage colorectal cancer in elderly patients? CQ3: Is a standard surgery possible for elderly patients with advanced colorectal cancer? CQ4: What is the indication for surgery on stage IV colorectal cancer in elderly patients? CQ5: Is laparoscopic surgery effective on elderly patients with colorectal cancer? CQ6: Should an artificial anus be proactively installed during radical resection of a rectal cancer? CQ7: Can serious postoperative complications in elderly patients with colorectal cancer be predicted? CQ8: Are the amount of bleeding and operating time adequate to make an intraoperative assessment of elderly patients with colorectal cancer? CQ9: What is the appropriate method of anesthesia for elderly patients with colorectal cancer? These clinical questions should be considered when deciding actual treatment policies.</p>

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