Evaluation of the advantages of robotic versus laparoscopic surgery in elderly patients with colorectal cancer

BMC Geriatrics

Research

Shaohua Guo¹  Baoqing Jia²  Yonggan Xue²  Yanshen Kuang²  Fangming Gong²  Sen Li²  Mu Ke²  Xin Liu²  Peng Li² 

[1] Department of General Surgery, The Eighth Medical Center, Chinese PLA General Hospital, Haidian District, No.Jia17, Heishanhu Road, 100089, Beijing, China;Department of General Surgery, The First Medical Centre, Chinese PLA General Hospital, Haidian District, No.28, Fuxing Road, 100853, Beijing, China;

关键词: Colorectal cancer;    Elderly patients;    Robotic surgery;   

DOI  :  10.1186/s12877-023-03822-4

 received in 2022-11-20, accepted in 2023-02-14,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe incidence of colorectal cancer increases with aging. Curative-intent surgery based on a minimally invasive concept is expected to bring survival benefits to elderly patients (aged over 80 years) with colorectal cancer who are frequently with fragile health status and advanced tumors. The study explored survival outcomes in this patient population who received robotic or laparoscopic surgery and aimed to identify an optimal surgical option for those patients.MethodsWe retrieved the clinical materials and follow-up data on elderly patients with colorectal carcinoma who received robotic or laparoscopic surgery in our institution. The pathological and surgical outcomes were compared to examine the efficacy and safety of the two approaches. The DFS (disease-free survival) and OS (overall survival) results at 3 years after surgery were assessed to explore the survival benefits.ResultsA total of 111 patients were screened for the study, including 55 in the robotic group and 56 in the laparoscopic group. The demographic details were generally similar between the two groups. No statistically significant difference in the number of removed lymph nodes was observed between the two approaches, with a median of 15 versus 14 (P = 0.053). The intraoperative blood loss was significantly reduced by robotic technique when compared to the laparoscopic approach, with a mean of 76.9 ml versus 161.6 ml (P = 0.025). There were no significant differences in operation time, conversion, postoperative complications and recovery, and long-term outcomes between the two groups.ConclusionRobotic surgery was prized for elderly patients with colorectal cancer who developed anemia and/or hematological conditions.

【 授权许可】

CC BY   
© The Author(s) 2023

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