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Robotic-assisted gynecologic surgery in an older population: A comparison study
Madison S Moore1, Elise H Vo2, Bikash Bhattarai3
1Arizona Oncology (US Oncology Network), Phoenix, AZ, United States of America.
Journal of Geriatric Oncology
|June 9, 2023
Summary
Robotic gynecologic oncology surgery is safe for older patients. A study found no significant difference in complication rates for patients aged 65 and older compared to younger patients undergoing these procedures.
Area of Science:
- Gynecologic Oncology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic-assisted surgery offers reduced peri-operative morbidity in select patients.
- Limited research exists on complication rates in older patients undergoing robotic gynecologic oncology surgery.
Purpose of the Study:
- To evaluate peri- and postoperative complication rates in patients aged 65 years and above undergoing minimally-invasive robotic gynecologic surgery.
Main Methods:
- Retrospective review of 765 minimally-invasive robotic-assisted surgeries.
- Patients categorized into two groups: <65 years and ≥65 years.
- Primary outcomes: intraoperative and postoperative complications.
Main Results:
- No significant difference in intraoperative complication rates between younger (1.9%) and older (1.62%) patients (p=0.808).
- Postoperative complication rates were 15.5% in younger patients and 22.7% in older patients (p=0.328).
- Average estimated blood loss was similar between groups (137.5 ml vs. 134.81 ml, p=0.097).
Conclusions:
- Minimally-invasive robotic gynecologic oncology surgery is not associated with increased complication rates in patients aged 65 and older.
- Expert surgical teams can safely perform these procedures in elderly patients.
