Laparoscopic renal surgery in the octogenarian
Gyan Pareek1, Jennifer Yates, Sean Hedican
1Division of Urology/Department of Surgery, Warren Alpert School of Medicine at Brown University, Providence, RI 02905, USA. gypmd@aol.com
BJU International
|March 7, 2008
Summary
Laparoscopic renal surgery (LRS) is safe for octogenarians, even with comorbidities. Minimally invasive ablative procedures are increasingly common for kidney lesions in this age group.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Geriatric Surgery
Background:
- Octogenarians are often considered poor surgical candidates.
- Minimally invasive surgical options are changing perceptions for kidney lesion management.
Purpose of the Study:
- To evaluate the safety and outcomes of laparoscopic renal surgery (LRS) in octogenarian patients.
- To assess the feasibility of various laparoscopic techniques in elderly patients with kidney conditions.
Main Methods:
- Retrospective analysis of 26 patients aged 80 years or older who underwent LRS between 2000 and 2006.
- Data collected included demographics, comorbidities, surgical approach, and postoperative outcomes.
- Complications, hospital stay, and recovery time were analyzed.
Main Results:
- Procedures included partial/radical nephrectomy, nephroureterectomy, cryoablation, RFA, and cyst unroofing.
- The average hospital stay was 5.6 days, with a mean return to normal activity of 19 days.
- Major and minor complication rates were 7% and 19%, respectively, with 19 of 22 patients showing no evidence of disease post-procedure.
Conclusions:
- Laparoscopic renal surgery is a safe option for octogenarians, including those with multiple comorbidities.
- Ablative procedures are becoming more prevalent than surgical excision in this demographic.
- The study supports the use of LRS for managing renal lesions in the elderly population.
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