Comparison of short-term outcomes and survival between minimally invasive colectomy and open colectomy in patients 80 years of age and older.

Journal: Journal of robotic surgery
Published Date: Aug 1, 2023

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.

Authors

  • Hannah M Thompson
    Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
  • Hannah Williams
    Colorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Dana M Omer
    Colorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Jonathan B Yuval
    Colorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Floris S Verheij
    Colorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Megan Fiasconaro
    Departments of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Maria Widmar
    Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Iris H Wei
    Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Emmanouil P Pappou
    Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • J Joshua Smith
    Colorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Garrett M Nash
    Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Martin R Weiser
    Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
  • Philip B Paty
    Colorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Armin Shahrokni
    Department of Medicine, Geriatrics Service, Jersey Shore Medical Center, Neptune Township, NJ, USA.
  • Julio Garcia-Aguilar
    Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.

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