TTP1.05 Outcomes of Colonic Resection for Adenocarcinoma in Patients Over 85 Years: A District General Hospital Experience

Aims This project aimed to assess outcomes in patients over 85 years of age undergoing colonic resection for adenocarcinoma in a district general hospital. Methods Patients were identified from MDT records. The primary outcome was survival at 30 days, 90 days, and 2 years. Secondary outcomes included length of hospital stay and discharge destination. Data was collected retrospectively including patient demographics, tumor characteristics and histology, procedure performed, incidence of stoma formation and chemoradiotherapy treatment. Results 76 patients (61.8% male, 38.2% female) underwent colonic resection. Median age was 87 years (range: 85–95, IQR 10) and median Charlson Co-morbidity Score was 7. Survival rates were 92.1% at 30 days, 90.8% at 90 days, and 64.8% at 2 years. 9.2% died during index admission. Right-sided cancers were the most common (59.2%), followed by left-sided (30.3%) and rectal cancers (10.5%). 64.5% were elective resections and 35.5% were emergency. The most common procedure was right hemicolectomy (59.2%), and the majority were laparoscopic (55.3%). A stoma was formed occurred in 34.2% of cases. The median staging was T3N0M0, and all cancers were adenocarcinomas. R0 resection was achieved in 89.5%. The median hospital stay was 9.5 days, and 82.9% of patients were discharged to their own home. Conclusions This study demonstrates excellent short- and medium-term survival in elderly, comorbid patients undergoing colonic resection. Age alone should not preclude curative surgical treatment for colorectal cancer in this cohort.