If at the beginning of the clinical experience with IPAA, given the complexity of the procedure, the higher age limit had been arbitrarily set at 55 years, this criterion does no longer represents an absolute bond [8]. Two recent studies showed that IPAA can be advised for patients older than 60 years in whom favourable results not considerably different from those in younger patients were reported [38, 39], as well as for 70-year-old, well-motivated patients with clinically acceptable results [40], even if those results were surely not ideal for younger patients.

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