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[Surgical Outcomes of Robot-Assisted Surgery for Elderly Patients with Colorectal Cancer at a Municipal Hospital]
Masashi Takemura1, Tsutomu Oshima, Katsuyuki Mayumi
1Dept. of Surgery, Keigaku-Kai Minami Osaka Hospital.
Abstract:
We investigated the outcomes of robot-assisted surgery for elderly patients with colorectal cancer at a municipal hospital after its introduction.
Subjects And Methods:
From February 2024 to April 2025, we underwent 78 cases of robot-assisted colorectal cancer surgery.We divided these cases into cases over 80 years old and cases under 80 years old, and compared the short-term surgical outcomes to examine whether robot-assisted surgery could be safely introduced for elderly patients with colorectal cancer.
Results:
There were 25 patients over 80 years old(Group A)and 53 patients under 80 years old(Group B).Age was significantly higher in Group A, and there were more women.Robot-assisted surgery was completed in all patients, and there were no differences in the degree or number of lymph nodes dissected.There was no difference in operative time or blood loss, but console time tended to be longer in Group A.Postoperative complications and postoperative length of hospital stay were significantly higher in Group A, but there were no in-hospital deaths.
Conclusions:
Robot-assisted surgery for elderly patients with colorectal cancer can be safely implemented even in municipal hospitals, but careful attention to postoperative progress is required.
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