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Robotic colorectal surgery in elderly patients: A single‐centre experience

INTRODUCTION: The purpose of this study was to evaluate outcomes in elderly patients (age ≥ 65 years) undergoing robotic colorectal surgery (RCRS) in comparison with non‐elderly patients. MATERIALS AND METHODS: Data was collected on elderly and non‐elderly patients who underwent RCRS from a prospect...

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Autores principales: Hannan, Enda, Feeney, Gerard, Fahad Ullah, Mohammad, Condon, Eoghan, Coffey, John Calvin, Peirce, Colin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541935/
https://www.ncbi.nlm.nih.gov/pubmed/35666815
http://dx.doi.org/10.1002/rcs.2431
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author Hannan, Enda
Feeney, Gerard
Fahad Ullah, Mohammad
Condon, Eoghan
Coffey, John Calvin
Peirce, Colin
author_facet Hannan, Enda
Feeney, Gerard
Fahad Ullah, Mohammad
Condon, Eoghan
Coffey, John Calvin
Peirce, Colin
author_sort Hannan, Enda
collection PubMed
description INTRODUCTION: The purpose of this study was to evaluate outcomes in elderly patients (age ≥ 65 years) undergoing robotic colorectal surgery (RCRS) in comparison with non‐elderly patients. MATERIALS AND METHODS: Data was collected on elderly and non‐elderly patients who underwent RCRS from a prospectively maintained database. RESULTS: A total of 89 elderly and 73 non‐elderly patients were identified. No statistically significant differences in postoperative complication, reoperation, wound infection, anastomotic leak or mortality were observed. The median length of stay was 1 day longer in elderly patients (p = 0.007). Subgroup analysis of octogenarians demonstrated outcomes that compared favourably with younger patients. CONCLUSION: RCRS in elderly patients is safe and effective, with outcomes that do not differ significantly with younger patients. Older age should not be considered to be a specific exclusion criteria for RCRS. To our knowledge, this study represents the largest in the literature to examine outcomes specifically in elderly patients undergoing RCRS.
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spelling pubmed-95419352022-10-14 Robotic colorectal surgery in elderly patients: A single‐centre experience Hannan, Enda Feeney, Gerard Fahad Ullah, Mohammad Condon, Eoghan Coffey, John Calvin Peirce, Colin Int J Med Robot Original Articles INTRODUCTION: The purpose of this study was to evaluate outcomes in elderly patients (age ≥ 65 years) undergoing robotic colorectal surgery (RCRS) in comparison with non‐elderly patients. MATERIALS AND METHODS: Data was collected on elderly and non‐elderly patients who underwent RCRS from a prospectively maintained database. RESULTS: A total of 89 elderly and 73 non‐elderly patients were identified. No statistically significant differences in postoperative complication, reoperation, wound infection, anastomotic leak or mortality were observed. The median length of stay was 1 day longer in elderly patients (p = 0.007). Subgroup analysis of octogenarians demonstrated outcomes that compared favourably with younger patients. CONCLUSION: RCRS in elderly patients is safe and effective, with outcomes that do not differ significantly with younger patients. Older age should not be considered to be a specific exclusion criteria for RCRS. To our knowledge, this study represents the largest in the literature to examine outcomes specifically in elderly patients undergoing RCRS. John Wiley and Sons Inc. 2022-06-26 2022-10 /pmc/articles/PMC9541935/ /pubmed/35666815 http://dx.doi.org/10.1002/rcs.2431 Text en © 2022 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Hannan, Enda
Feeney, Gerard
Fahad Ullah, Mohammad
Condon, Eoghan
Coffey, John Calvin
Peirce, Colin
Robotic colorectal surgery in elderly patients: A single‐centre experience
title Robotic colorectal surgery in elderly patients: A single‐centre experience
title_full Robotic colorectal surgery in elderly patients: A single‐centre experience
title_fullStr Robotic colorectal surgery in elderly patients: A single‐centre experience
title_full_unstemmed Robotic colorectal surgery in elderly patients: A single‐centre experience
title_short Robotic colorectal surgery in elderly patients: A single‐centre experience
title_sort robotic colorectal surgery in elderly patients: a single‐centre experience
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541935/
https://www.ncbi.nlm.nih.gov/pubmed/35666815
http://dx.doi.org/10.1002/rcs.2431
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