Robotic Surgery in the Frail Elderly: Analysis of Perioperative Outcomes.
Publication/Presentation Date
10-1-2020
Abstract
PURPOSE: The frail are considered at higher risk for unfavorable surgical outcomes (major complications/mortality). We assessed the safety of and outcomes associated with robotic surgery in the frail elderly undergoing gynecologic procedures.
METHODS: We identified patients aged ≥ 65 years who underwent a robotic procedure between May 2007 and December 2016. Frailty was defined as the presence of at least three of five frailty factors-more than five comorbidities, low physical activity, weight loss, exhaustion, and fatigue. Perioperative outcomes were recorded. We compared variables among frail and non-frail patients and performed a multivariate logistic regression to detect variables associated with major complications (≥ grade 3) or 90-day mortality.
RESULTS: We identified 982 patients: 71 frail and 911 non-frail patients. Median age was 71 years. Median BMI was 29.8 kg/m
CONCLUSIONS: The frail elderly have longer hospital stays and more complications after surgery than the general population, consistent with the reported literature. Careful selection of surgical candidates is required.
Volume
27
Issue
10
First Page
3772
Last Page
3780
ISSN
1534-4681
Published In/Presented At
Aloisi, A., Tseng, J., Kuhn, T., Feinberg, J., Chi, D. S., Brown, C. L., Mueller, J. J., Gardner, G. J., Zivanovic, O., Jewell, E. L., Long Roche, K., Broach, V., Abu-Rustum, N. R., & Leitao, M. M., Jr (2020). Robotic Surgery in the Frail Elderly: Analysis of Perioperative Outcomes. Annals of surgical oncology, 27(10), 3772–3780. https://doi.org/10.1245/s10434-020-08475-w
Disciplines
Medicine and Health Sciences
PubMedID
32328983
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article