Comparison of short-term outcomes and survival between minimally invasive colectomy and open colectomy in patients 80 years of age and older Journal Article
| Authors: | Thompson, H. M.; Williams, H.; Omer, D. M.; Yuval, J. B.; Verheij, F. S.; Fiasconaro, M.; Widmar, M.; Wei, I. H.; Pappou, E. P.; Smith, J. J.; Nash, G. M.; Weiser, M. R.; Paty, P. B.; Shahrokni, A.; Garcia-Aguilar, J. |
| Article Title: | Comparison of short-term outcomes and survival between minimally invasive colectomy and open colectomy in patients 80 years of age and older |
| Abstract: | We investigated the short- and long-term outcomes of patients 80 years of age and older with colon cancer who underwent robotic colectomy versus laparoscopic colectomy. Data for patients treated at a comprehensive cancer center between January 2006 and November 2018 were collected retrospectively. Outcomes from minimally invasive laparoscopic or robotic colectomy were compared. Survival was analyzed by the Kaplan–Meier method with significance evaluated by the log-rank test. The laparoscopic (n = 104) and the robotic (n = 75) colectomy groups did not differ across baseline characteristics. Patients who underwent a robotic colectomy had a shorter median length of hospital stay (5 versus 6 days; p < 0.001) and underwent fewer conversions to open surgery (3% versus 17%; p = 0.002) compared to the laparoscopic cohort. The groups did not differ in postoperative complication rates, overall survival or disease-free survival. Elderly patients undergoing robotic colectomy for colon cancer have a shorter hospital stay and lower rates of conversion without compromise to oncologic outcomes. © 2023, The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature. |
| Keywords: | cancer survival; treatment outcome; aged; cancer surgery; retrospective studies; major clinical study; overall survival; cancer patient; cancer staging; outcome assessment; follow up; laparoscopy; letter; anemia; colonic neoplasms; cohort analysis; patient monitoring; retrospective study; postoperative complication; postoperative complications; hospitals; length of stay; hospitalization; body mass; colon cancer; colon tumor; operation duration; minimally invasive surgery; perioperative period; robotics; hospital readmission; elderly; minimally invasive; diseases; small intestine obstruction; colectomy; long-term outcome; procedures; geriatric surgery; abdominal infection; open surgery; laparoscopic colectomy; very elderly; humans; human; male; female; kaplan-meier method; robotic surgical procedures; robot assisted surgery; robotic colectomy; rank test |
| Journal Title: | Journal of Robotic Surgery |
| Volume: | 17 |
| Issue: | 4 |
| ISSN: | 1863-2483 |
| Publisher: | Springer Verlag London |
| Date Published: | 2023-08-01 |
| Start Page: | 1857 |
| End Page: | 1865 |
| Language: | English |
| DOI: | 10.1007/s11701-023-01575-1 |
| PUBMED: | 37022559 |
| PROVIDER: | scopus |
| PMCID: | PMC10527224 |
| DOI/URL: | |
| Notes: | Letter -- MSK Cancer Center Support Grant (P30 CA0098748) acknowledged in PubMed and PDF -- MSK corresponding author is Julio Garcia-Aguilar -- Source: Scopus |
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