Robotic versus open oncological gastric surgery in the elderly: a propensity score-matched analysis
| العنوان: | Robotic versus open oncological gastric surgery in the elderly: a propensity score-matched analysis |
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| المؤلفون: | Barbara Frezza, Gianluca Costa, Graziano Ceccarelli, Genoveffa Balducci, Marco De Prizio, Giovanni Gugliemo Laracca, Alessia Biancafarina, Giovanni Maria Garbarino, Paolo Mercantini |
| المصدر: | Journal of Robotic Surgery |
| بيانات النشر: | Springer London, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.medical_treatment, Health Informatics, Minimally Invasive Surgery, 03 medical and health sciences, 0302 clinical medicine, Postoperative Complications, Blood loss, Robotic Surgical Procedures, Gastrectomy, Stomach Neoplasms, medicine, gastric cancer, gastric surgery, minimally invasive surgery, robotic surgery, Gastric Surgery, Humans, Robotic surgery, Propensity Score, Aged, Retrospective Studies, business.industry, Cancer, Perioperative, Robotics, medicine.disease, Comorbidity, Surgery, Treatment Outcome, 030220 oncology & carcinogenesis, Propensity score matching, T-stage, 030211 gastroenterology & hepatology, Original Article, Laparoscopy, business, Gastric cancer |
| الوصف: | Although there is no agreement on a definition of elderly, commonly an age cutoff of ≥ 65 or 75 years is used. Even if robot-assisted surgery is a validated option for the elderly population, there are no specific indications for its application in the surgical treatment of gastric cancer. The aim of this study is to evaluate the safety and feasibility of robot-assisted gastrectomy and to compare the short and long-term outcomes of robot-assisted (RG) versus open gastrectomy (OG). Patients aged ≥ 70 years old undergoing surgery for gastric cancer at the Department of Surgery of San Donato Hospital in Arezzo, between September 2012 and March 2017 were enrolled. A 1:1 propensity score matching was performed according to the following variables: age, Sex, BMI, ASA score, comorbidity, T stage and type of resection performed. 43 OG were matched to 43 RG. The mean operative time was significantly longer in the RG group (273.8 vs. 193.5 min, p p = 0.313) and a significantly higher postoperative pain (0.95 vs. 1.24, p = 0.042). Overall survival (p = 0.263) and disease-free survival (p = 0.474) were comparable between groups. Robotic-assisted surgery for oncological gastrectomy in elderly patients is safe and effective showing non-inferiority comparing to the open technique in terms of perioperative outcomes and overall 5-year survival. |
| اللغة: | English |
| تدمد: | 1863-2491 1863-2483 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3b03b38ffda739a2ff2ca22ce1c16ae9 http://europepmc.org/articles/PMC8423642 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....3b03b38ffda739a2ff2ca22ce1c16ae9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18632491 18632483 |
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