Robotic Versus Laparoscopic Colorectal Cancer Surgery in Elderly Patients: A Propensity Score Match Analysis

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Nicola de'AngelisFrancesco Brunetti

Abstract

Minimally invasive surgery in elderly patients with colorectal cancer remains controversial. The study aimed to compare the operative, postoperative, and oncologic outcomes of robotic (robotic colorectal resection surgery [RCRS]) versus laparoscopic colorectal resection surgery (LCRS) in elderly patients with colorectal cancer. Propensity score matching (PSM) was used to compare patients aged 70 years and more undergoing elective RCRS or LCRS for colorectal cancer between 2010 and 2017. Overall, 160 patients underwent elective curative LCRS (n = 102) or RCRS (n = 58) for colorectal cancer. Before PSM, the mean preoperative Charlson score and the tumor size were significantly lower in the robotic group. After matching, 43 RCRSs were compared with 43 LCRSs. The RCRS group showed longer operative times (300.6 versus 214.5 min, P = .03) compared with LCRS, but all other operative variables were comparable between the two groups. No differences were found for postoperative morbidity, mortality, time to flatus, return to regular diet, and length of hospital stay. R0 resection was obtained in 95.3% of procedures. The overall and disease-free survival rates at 1, 2, and 3 years were similar between RCRS and LCRS patients. The presence ...Continue Reading

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Citations

Apr 7, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N de'AngelisF Brunetti
Oct 21, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Marco MiloneGiovanni Domenico De Palma
Dec 20, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Nicola de'AngelisClaire Dagorno
Jul 28, 2021·Langenbeck's Archives of Surgery·Dedrick Kok Hong ChanChristopher Hang Liang Keh

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Methods Mentioned

BETA
lavage

Software Mentioned

SPSS Package for Social Science
SPSS Statistics

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