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

Int J Med Robot. 2022 Oct;18(5):e2431. doi: 10.1002/rcs.2431. Epub 2022 Jun 26.

Abstract

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.

Keywords: elderly patients; geriatric surgery; older patients; robotic colorectal surgery.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Colorectal Surgery*
  • Humans
  • Laparoscopy*
  • Length of Stay
  • Middle Aged
  • Postoperative Complications / etiology
  • Reoperation
  • Retrospective Studies
  • Robotic Surgical Procedures* / adverse effects
  • Treatment Outcome