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Robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre
BACKGROUND: Robotic-assisted pancreatic surgery (RPS) has fundamentally developed over the past few years. For subgroups, e.g. elderly patients, applicability and safety of RPS still needs to be defined. Given prognosticated demographic developments, we aim to assess the role of RPS based on preoper...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662827/ https://www.ncbi.nlm.nih.gov/pubmed/34886818 http://dx.doi.org/10.1186/s12893-021-01395-w |
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author | Hillebrandt, Karl H. Knitter, Sebastian Timmermann, Lea Felsenstein, Matthäus Benzing, Christian Schmelzle, Moritz Pratschke, Johann Malinka, Thomas |
author_facet | Hillebrandt, Karl H. Knitter, Sebastian Timmermann, Lea Felsenstein, Matthäus Benzing, Christian Schmelzle, Moritz Pratschke, Johann Malinka, Thomas |
author_sort | Hillebrandt, Karl H. |
collection | PubMed |
description | BACKGROUND: Robotic-assisted pancreatic surgery (RPS) has fundamentally developed over the past few years. For subgroups, e.g. elderly patients, applicability and safety of RPS still needs to be defined. Given prognosticated demographic developments, we aim to assess the role of RPS based on preoperative, operative and postoperative parameters. METHODS: We included 129 patients undergoing RPS at our institution between 2017 and 2020. Eleven patients required conversion to open surgery and were excluded from further analysis. We divided patients into two groups; ≥ 70 years old (Group 1; n = 32) and < 70 years old (Group 2; n = 86) at time of resection. RESULTS: Most preoperative characteristics were similar in both groups. However, number of patients with previous abdominal surgery was significantly higher in patients ≥ 70 years old (78% vs 37%, p < 0.0001). Operative characteristics did not significantly differ between both groups. Although patients ≥ 70 years old stayed significantly longer at ICU (1.8 vs 0.9 days; p = 0.037), length of hospital stay and postoperative morbidity were equivalent between the groups. CONCLUSION: RPS is safe and feasible in elderly patients and shows non-inferiority when compared with younger patients. However, prospectively collected data is needed to define the role of RPS in elderly patients accurately. Trial registration Clinical Trial Register: Deutschen Register Klinischer Studien (DRKS; German Clinical Trials Register). Clinical Registration Number: DRKS00017229 (retrospectively registered, Date of Registration: 2019/07/19, Date of First Enrollment: 2017/10/18). |
format | Online Article Text |
id | pubmed-8662827 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-86628272021-12-10 Robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre Hillebrandt, Karl H. Knitter, Sebastian Timmermann, Lea Felsenstein, Matthäus Benzing, Christian Schmelzle, Moritz Pratschke, Johann Malinka, Thomas BMC Surg Research BACKGROUND: Robotic-assisted pancreatic surgery (RPS) has fundamentally developed over the past few years. For subgroups, e.g. elderly patients, applicability and safety of RPS still needs to be defined. Given prognosticated demographic developments, we aim to assess the role of RPS based on preoperative, operative and postoperative parameters. METHODS: We included 129 patients undergoing RPS at our institution between 2017 and 2020. Eleven patients required conversion to open surgery and were excluded from further analysis. We divided patients into two groups; ≥ 70 years old (Group 1; n = 32) and < 70 years old (Group 2; n = 86) at time of resection. RESULTS: Most preoperative characteristics were similar in both groups. However, number of patients with previous abdominal surgery was significantly higher in patients ≥ 70 years old (78% vs 37%, p < 0.0001). Operative characteristics did not significantly differ between both groups. Although patients ≥ 70 years old stayed significantly longer at ICU (1.8 vs 0.9 days; p = 0.037), length of hospital stay and postoperative morbidity were equivalent between the groups. CONCLUSION: RPS is safe and feasible in elderly patients and shows non-inferiority when compared with younger patients. However, prospectively collected data is needed to define the role of RPS in elderly patients accurately. Trial registration Clinical Trial Register: Deutschen Register Klinischer Studien (DRKS; German Clinical Trials Register). Clinical Registration Number: DRKS00017229 (retrospectively registered, Date of Registration: 2019/07/19, Date of First Enrollment: 2017/10/18). BioMed Central 2021-12-09 /pmc/articles/PMC8662827/ /pubmed/34886818 http://dx.doi.org/10.1186/s12893-021-01395-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Hillebrandt, Karl H. Knitter, Sebastian Timmermann, Lea Felsenstein, Matthäus Benzing, Christian Schmelzle, Moritz Pratschke, Johann Malinka, Thomas Robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre |
title | Robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre |
title_full | Robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre |
title_fullStr | Robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre |
title_full_unstemmed | Robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre |
title_short | Robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre |
title_sort | robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662827/ https://www.ncbi.nlm.nih.gov/pubmed/34886818 http://dx.doi.org/10.1186/s12893-021-01395-w |
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