Robotic surgery for colorectal cancer in the Octogenarians
| Autor: | Gal Westrich, Aviram Nissan, Ioannis Mykoniatis, Jim Khan, Matthew Cross, Najaf Siddiqi, Samuel Stefan, Yousra Ahmed |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Colorectal cancer Patient demographics Operative Time Biophysics 03 medical and health sciences Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures medicine Humans Robotic surgery Prospective Studies Stage (cooking) Lymph node Aged 80 and over business.industry Mortality rate Significant difference medicine.disease Computer Science Applications Surgery Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Operative time Female Laparoscopy 030211 gastroenterology & hepatology Colorectal Neoplasms business |
| Zdroj: | The International Journal of Medical Robotics and Computer Assisted Surgery. 17 |
| ISSN: | 1478-596X 1478-5951 |
| DOI: | 10.1002/rcs.2268 |
| Popis: | Background We evaluated the short-term outcomes of robotic colorectal cancer surgery in octogenarian patients, focussing on postoperative morbidity and survival. Methods All patients ≥80 years in a prospective colorectal cancer database undergoing robotic curative colorectal cancer resection were included. Patient demographics, intraoperative findings, postoperative and oncological outcomes were recorded. Patients were further subdivided into two groups named: old (OG 80-85 years) and very old (VOG ≥ 86 years). Results Fifty-eight consecutive patients were included (median age, 83 years; male, 53.4%; median BMI, 26.5). Median total operative time was 230 min, median blood loss 20 ml, median length of stay 7 days. Major complications were seen in 12% of patients; and the 90-day mortality rate was 1.7%. Complete R0 resection achieved in 93% of cases, average lymph node harvest was 22. Overall and disease-free survival was 81% and 87.3%, respectively (median follow-up 24.5 months). We noticed a trend towards more advanced lesion staging in the VOG, but only N2 stage was significant (p = 0.03). There was a statistically significant difference in overall survival in favour of the OG (p = 0.024). Conclusions Robotic surgery is feasible in octogenarian patients undergoing curative colorectal cancer resection and is associated with good post-operative outcomes and overall survival. |
| Databáze: | OpenAIRE |
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