Comparison of short-term outcomes and survival between minimally invasive colectomy and open colectomy in patients 80 years of age and older.
Hannah M ThompsonHannah WilliamsDana M OmerJonathan B YuvalFloris S VerheijMegan FiasconaroMaria WidmarIris H WeiEmmanouil P PappouJ Joshua SmithGarrett M NashMartin R WeiserPhilip B PatyArmin ShahrokniJulio Garcia-AguilarPublished in: Journal of robotic surgery (2023)
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.
Keyphrases
- minimally invasive
- robot assisted
- end stage renal disease
- patients undergoing
- newly diagnosed
- chronic kidney disease
- free survival
- healthcare
- ejection fraction
- peritoneal dialysis
- prognostic factors
- machine learning
- prostate cancer
- emergency department
- young adults
- deep learning
- middle aged
- single molecule
- patient reported outcomes
- electronic health record
- coronary artery disease
- skeletal muscle
- percutaneous coronary intervention
- papillary thyroid
- high resolution
- adverse drug